Mohammed B Ghabra, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036-090016 Issued in IL

Practice address

12632 S Harlem Ave
Palos Heights, IL 60463

Phone

(708) 587-0000

NPI assigned

Aug 9, 2005

Last updated

Apr 9, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 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

NeurologyAlso: Neuropsychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
• Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
• Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689
  Medicare reassignment Care Compare group NPD
• Summit Center for Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1619212800
  Medicare reassignment NPD
• Dr. Almasri and Associates Inc.

  • Clinic/Center
  • Palos Heights, IL
  • NPI 1104158286
  NPD
• Ghabra & Tarsha Medical Inc

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1477763894
  NPD
• PCC Community Wellness Center

  dba PCC Austin Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1609892223
  NPD (past)

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

• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877
  Care Compare affiliation
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  Care Compare affiliation
• Loyola University Medical Center

  dba Loyola University Medical Center Cancer Center

  • General Acute Care Hospital
  • Tinley Park, IL
  • NPI 1427752013
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Cicero, IL
  • NPI 1184490062
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1194723999
  Care Compare affiliation
• Saint Anthony Hospital

  dba Saint Anthony Health Affiliates

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1538655949
  Care Compare affiliation
• Saint Anthony Hospital

  • Children's Hospital
  • Chicago, IL
  • NPI 1619456423
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1710877386
  Care Compare affiliation
• Saint Anthony Hospital

  dba SAH Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1790490563

  Hospital

  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1881363224
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912397480
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1396746822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12632 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-587-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12632 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-587-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Kish Hospital Dr",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "60115",
            "country_code": "US",
            "telephone_number": "815-756-8554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Kish Hospital Dr",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "60115",
            "country_code": "US",
            "telephone_number": "815-756-8554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 W Division St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223096",
            "country_code": "US",
            "telephone_number": "312-491-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHABRA",
        "first_name": "MOHAMMED",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-090016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090016",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mghabra48897@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2222 W Division St Ste 310",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606223096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Skarpathiotis, M.D., S.C. (Palos Pediatrics)
• Reema George, DO
• Ronald A. George, D.D.S.
• Charles E Geringer, M.D.
• Karolina Natalia Gewont
• Ghani Medical Center, MD SC
• Elizabeth Ghera
• Gery Gilbo, LCPC
• Michelle Marie Gilhooly, APRN, CRNA
• Alan R Gill, LCSW,SAP.,MSW

• Neurology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.