Active NPI
Mohammed J Mohiuddin, M.D.
- Anesthesiology Physician
- Loves Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036.142717
- Practice address
- 2202 Harlem Road
Loves Park, IL 61111-2754 - Phone
- (815) 877-4848
- Fax
- (815) 654-5342
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 43730020 | WI | |
| Anesthesiology Physician | 207L00000X | 036.142717 | IL | Primary |
Addresses
Primary practice location
2202 Harlem Road
Loves Park, IL 61111-2754
Mailing address
2202 Harlem Road
Loves Park, IL 61111-2754
Phone (815) 877-4848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34131900 | Medicaid | WI | |
| 12952 | Other | WI | DEANCARE HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E State St
Swedishamerican Hospital
Rockford, IL 61104-2315
Phone (815) 968-4400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142717 | IL | MD | Anesthesiology Physician |
| 43730020 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Anesthesiologists Associated, L.L.C. | Anesthesiology | Current | Accepting new patients |
| Ias Illinois PC | Anesthesiology | Current | Accepting new patients |
| Stateline Anesthesiologists SC | Anesthesiology | Current | Accepting new patients |
| Rockford Anesthesiologists Associated, L.L.C. | Past | Accepting new patients | |
| Hart Road Pathology SC | Past | Accepting new patients |
Locations
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
2202 Harlem Rd
Loves Park, IL 61111
Phone (815) 877-4848
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
3005 S Riverside Dr
Ste 206
Beloit, WI 53511
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Loves Park, IL
- NPI 1639128598
-
- Anesthesiology Physician
- Geneva, IL
- NPI 1265118723
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
-
- Clinical Pathology Physician
- Beloit, WI
- NPI 1740459072
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1417945379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HARLEM ROAD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 HARLEM ROAD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHIUDDIN",
"first_name": "MOHAMMED",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "43730020",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036.142717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34131900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEANCARE HMO",
"identifier": "12952",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.