Organization Active NPI

Doctors Next Door, Inc

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1407550023
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS NEXT DOOR, INC
Practice address
4021 W 63Rd St Ste C
Chicago, IL 60629-4642
Phone
(773) 663-1444
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Watik Maghroudi, MDNPI 1891350633
Title
President
Phone
(773) 663-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4021 W 63Rd St Ste C
Chicago, IL 60629-4642

Mailing address

4021 W 63Rd St Ste C
Chicago, IL 60629-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305001227 IL Part B Supplier - Clinic/Group Practice 4183069701 Receives reassigned benefits from 4 practitioners
Practice locations: Champaign, IL

National Provider Directory

National Provider Directory

Locations

701 Devonshire Dr
Ste C14
Champaign, IL 61820
Phone (773) 663-1444

4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1407550023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W 63RD ST STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W 63RD ST STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294642",
            "telephone_number": "773-663-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS NEXT DOOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MAGHROUDI",
        "authorized_official_first_name": "WATIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-663-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.