Moazzam Saeed, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-093806 Issued in IL

Practice address

215 Remington Blvd Ste B
Bolingbrook, IL 60440-3658

Phone

(630) 226-5300

Fax

(815) 461-0213

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f99feffa-a04a-4042-9325-6ec22532618b/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Pediatric Care, LTD.

  • Pediatrics Physician
  • Lockport, IL
  • NPI 1881769123
  NPD Authorized official
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1386626935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE B",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403658",
            "telephone_number": "630-226-5300",
            "fax_number": "815-461-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE B",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403658",
            "telephone_number": "630-226-5300",
            "fax_number": "815-461-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Read St",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "IL",
            "postal_code": "604413265",
            "country_code": "US",
            "telephone_number": "815-838-7337",
            "fax_number": "815-838-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEED",
        "first_name": "MOAZZAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-093806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-093806",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S&S Dynamic LLC
• Vibha Sabharwal, M.D.
• Sabs Corporation
• Michele Karen Sackheim, DDS MSD
• Joseph Saclolo
• Sage House Counseling and Consulting
• Fatima Saifuddin, M.D
• Sarah Sajewski, PT, DPT
• Sally Salazar
• Khizra Saleem, LSW

• Pediatrics Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.