Active NPI
Mohammed Abdul-Vikar Khadeer, DO
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036153525
- Practice address
- 7435 W Talcott Ave
Chicago, IL 60631 - Phone
- (773) 792-7921
- NPI assigned
- May 9, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125-072293 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 036153525 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Chicago, IL 60631
Mailing address
7435 W Talcott Ave
Chicago, IL 60631-3707
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lincoln Memorial University Medical Department, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153525 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
62311 Collection Ctr Dr
Chicago, IL 60693
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
dba Community First Emergency Medicine Group
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
dba Community First Medical Center Radiology
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1548759186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60631",
"telephone_number": "773-792-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADEER",
"first_name": "MOHAMMED",
"middle_name": "ABDUL-VIKAR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-072293",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036153525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 13, 2021; 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.