Hcpan LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HCPAN LLC

Practice address

12450 Walker Rd
Lemont, IL 60439-9301

Phone

(708) 478-7201

Fax

(708) 221-6766

NPI assigned

Aug 14, 2020

Organization subpart

Yes

Parent organization

HOSPITALIST CONSULTANTS GROUP S.C.As reported in NPPES

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

Authorized official

Name

Adel Mouradi, MD

Title

President

Phone

(708) 829-2198

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Hospitalist Consultants Group SC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospitalist Consultants Group S.C.

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1215125752

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hospitalist Consultants Group S.C.

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1215125752
  NPPES parent name

Practitioners 2

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.

• Jennifer C Johansen, N.P.

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1992933188
  Medicare reassignment NPD
• Manamar Singh, M.D

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1770899221
  Medicare reassignment NPD

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1528679347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 MAPLE AVE STE 335",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322329",
            "telephone_number": "708-336-0419",
            "fax_number": "708-221-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WALKER RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399301",
            "telephone_number": "708-478-7201",
            "fax_number": "708-221-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCPAN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITALIST CONSULTANTS GROUP S.C.",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "MOURADI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-829-2198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hamdan, LCPC
• William A Hare, D.D.S.
• William Michael Hare, D.D.S.
• Aya Hassan
• Iris Hastings, LPN LNHA
• Health Horizons LLC
• Health Link Service
• Health Link Services, Inc.
• Ilah Marie Heller-Bair, MD
• Kianna Marie Henehan

• Internal Medicine Physician in Lemont, IL
• Providers in Lemont, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.