Organization Active NPI

Metropolitan Neopediatrix

  • Neonatal-Perinatal Medicine Physician
  • Chicago, IL
National Provider Identifier
1407959893
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
036086342 Issued in IL
Legal business name
METROPOLITAN NEOPEDIATRIX
Practice address
2222 W Division St
Suite #330 C/O Dr. Wassef
Chicago, IL 60622-2717
Phone
(773) 227-0111
Fax
(773) 227-0006
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Dr. Samir Yousef Wassef, MDNPI 1346208519
Title
President
Phone
(312) 968-0000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X 036086342 IL Primary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X A431057354 MI
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X 9730 HI

Addresses

Primary practice location

2222 W Division St
Suite #330 C/O Dr. Wassef
Chicago, IL 60622-2717

Mailing address

415 E North Water St
Suite #2005
Chicago, IL 60611-5824
Phone (312) 968-0000

Other identifiers 1

IdentifierTypeStateIssuer
645650MedicaidIL

Other names 1

  • Metropedix Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metropedix2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1407959893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E NORTH WATER ST",
            "address_2": "SUITE #2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115824",
            "telephone_number": "312-968-0000",
            "fax_number": "312-277-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE #330 C/O DR. WASSEF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-227-0111",
            "fax_number": "773-227-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN NEOPEDIATRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "YOUSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-968-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036086342",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "A431057354",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "HI",
            "license": "9730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645650",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropedix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 9, 2009; 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.