Mufadal Ammar Moosabhoy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

125056396 Issued in IL

Practice address

5721 S Maryland Ave
K-155
Chicago, IL 60637-1425

Phone

(773) 702-6435

NPI assigned

Oct 7, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmoosabhoy245054@direct.luriechildrens.org
• Direct secure messaging: mmoosabhoy420967@direct.myadvocateaurora.org

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.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1437484573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 68TH ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613920",
            "telephone_number": "708-369-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE",
            "address_2": "K-155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425",
            "telephone_number": "773-702-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSABHOY",
        "first_name": "MUFADAL",
        "middle_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125056396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamera Patrice Moorer
• Tanyia Moorer
• Jona Moorghen
• Elizabeth Ann Moorhouse, MSW, LCSW, PMH-C
• Samiraly Moosa, MD
• Emily Moquin, MSW
• Guido Mora Calderon, MD
• Stephanie Mora Hernandez
• Andrea Mora
• Evette Mora

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.