Mohammad Jamal Deen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209018755 Issued in IL

Practice address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone

(170) 878-3910

NPI assigned

Jan 15, 2019

Last updated

Aug 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, CA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockford Anesthesiologists Associated LLCGroup PAC ID 5597668004, 62 clinicians

Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians

Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
• Insight Hospital and Medical Center Chicago Hospital, Chicago, IL, CCN 140158

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Associated Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1558306480
  Medicare reassignment Care Compare group NPD
• Insight Chicago, Inc.

  dba Insight Hospital & Medical Center Chicago

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006
  Medicare reassignment Care Compare group NPD
• Rockford Anesthesiologists Associated, L.L.C.

  • Certified Registered Nurse Anesthetist
  • Loves Park, IL
  • NPI 1629090642
  Medicare reassignment Care Compare group
• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1124069182
  Medicare reassignment NPD
• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Springfield, IL
  • NPI 1699032524
  Medicare reassignment NPD
• Willow Springs Surgery Center, LLC

  dba NANI Vascular at Addison

  • Ambulatory Surgical Clinic/Center
  • Addison, IL
  • NPI 1467429233
  Medicare reassignment NPD
• Concierge Anesthesia

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1447726997
  Medicare reassignment NPD
• M. Atchison Crna Inc, a Professional Nursing Corp.

  • Certified Registered Nurse Anesthetist
  • Napa, CA
  • NPI 1073542213

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Associated Anesthesiologists, SC

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1023612082
  NPD
• Insight Chicago, Inc.

  dba Insight Hospital & Medical Center Chicago

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1154308518
  NPD
• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1134319924
  NPD
• Linda Roberts & Associates Inc

  • Registered Dietitian
  • Wheaton, IL
  • NPI 1073832002
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Freeport Memorial Hospital

  dba FHN-Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Care Compare affiliation
• Insight Chicago, Inc.

  dba Insight Hospital & Medical Center Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1730166224
  Care Compare affiliation

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1396219176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "917-353-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "170-878-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "MOHAMMAD",
        "middle_name": "JAMAL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001137",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209018755",
            "primary": true
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "IL",
            "license": "041423146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Davila, OTR/L
• Lorna Davis, CNM
• Megan K Dawson, APN
• Liliana De la Cruz
• Ann De Padua, RN
• Rekik Abebe Degef
• Rebecca Christine Dehoek, MD
• Victor E Dejesus, DPT
• Anthony M Dejoseph, PSY.D.
• Charito M Delatorre, MD

• Certified Registered Nurse Anesthetist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.