Individual provider Active NPI

Patrice Muhammad, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1427062298
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085000760 Issued in IL
Practice address
613 E 67TH St
Chicago, IL 60637-4122
Phone
(773) 435-9493
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085000760 IL Primary

Addresses

Primary practice location

613 E 67TH St
Chicago, IL 60637-4122

Mailing address

1814 Pine Rd
Homewood, IL 60430-1331
Phone (708) 351-8887

Other practice location 1

801 Financial Pl
Unit 2416
Chicago, IL 60605
Phone (312) 566-1407

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115001260 IL Practitioner - Physician Assistant 7618931155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

Practice addresses (Care Compare)

8205 Cass Ave
Suite 110B
Darien, IL 60561-5319
Phone (773) 840-4747

Merit-based Incentive Payment System (MIPS)

Final score
84.69 of 100Reported as group
Quality
87.19
Promoting interoperability
86
Improvement activities
40
Cost
40.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085000760ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triple G Wellness Corporation CurrentSince Jun 20, 2025 Accepting new patients
Salaam Community Wellness Center CurrentSince Jan 26, 2025 Accepting new patients
Sterling Emergency Services of Indiana, Inc Physician Assistant Past Accepting new patients
Yihoodah Y. Green and Associates, LLC Past Accepting new patients

Locations

613 E 67th St
Chicago, IL 60637
Phone (773) 207-3540

Interoperability endpoints

  • Direct secure messaging: patrice.muhammad.2@4021.direct.athenahealth.com
  • Direct secure messaging: patrice.muhammad.1@25084.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1427062298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 PINE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301331",
            "telephone_number": "708-351-8887",
            "fax_number": "773-435-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E 67TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374122",
            "telephone_number": "773-435-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Financial Pl",
            "address_2": "Unit 2416",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60605",
            "country_code": "US",
            "telephone_number": "312-566-1407",
            "fax_number": "866-303-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "PATRICE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.