Mansour Moh'D Alshobaki, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.053832 Issued in IL

Practice address

7350 W College Dr Ste 201
Palos Heights, IL 60463-1190

Phone

(708) 424-9900

Fax

(708) 424-9901

NPI assigned

Jan 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malshobaki283710@direct.myadvocateaurora.org

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.

• Lakeview Family Medical Care LLC

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1740568351
  Medicare reassignment NPD Authorized official
• St. Catherine Hospital Inc.

  • Community/Retail Pharmacy
  • East Chicago, IN
  • NPI 1568806057
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1386881688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 KIRKCALDY CT",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632768",
            "telephone_number": "219-512-5533",
            "fax_number": "708-424-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR STE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631190",
            "telephone_number": "708-424-9900",
            "fax_number": "708-424-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHOBAKI",
        "first_name": "MANSOUR",
        "middle_name": "MOH'D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069154A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.053832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125844",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpha Med Physicians Group, LLC
• Alpha Med Physicians Group, LLC
• Alaa Alsakaty
• Mohammad Alsharabati, MD
• Ayman O Alsharbini, DO
• Kendah Alzalam, DMD
• Saddiq Alzandani
• Amber Chiropractic, LTD
• American Drug Stores LLC
• Amngmnt LLC

• Family Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.