NPIMap

Individual provider Active NPI

Vikaruddin Mohammed, M.D.

  • Family Medicine Physician
  • Long Grove, IL
National Provider Identifier
1568664969
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126054 Issued in IL
Practice address
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone
(847) 719-2220
Fax
(847) 719-2265
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036126054 IL
Family Medicine Physician 207Q00000X 036126054 IL Primary

Addresses

Primary practice location

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292

Mailing address

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.orgFHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address 234408@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000290 IL Practitioner - Family Practice 0749462612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Practices Inpatient Care, LTD.Group PAC ID 5799687372, 82 clinicians

Practice addresses (Care Compare)

1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5095

450 W Hwy 22
Barrington, IL 60010-1919
Phone (847) 381-9600

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Hospital & facility affiliations

  • Advocate Hospice Hospice, Oak Brook, IL, CCN 141516
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Inpatient Care, LTD. Hospitalist CurrentSince Jul 1, 2015 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Jul 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Family Medicine Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568664969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "VIKARUDDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036126054",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.orgFHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3880 Salem Lake Dr",
            "address_2": "STE F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "234408@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3880 Salem Lake Dr",
            "address_2": "STE F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

Verify at the official NPI Registry.