Active NPI
Mohamed Kaseer Ghumra, MD
- Neurology Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036-386778
- Practice address
- 750 Fletcher Drive
Suite 204
Elgin, IL 60123-4736 - Phone
- (847) 931-4626
- Fax
- (847) 931-4794
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036-386778 | IL | Primary |
Addresses
Primary practice location
750 Fletcher Drive
Suite 204
Elgin, IL 60123-4736
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086778 | Medicaid | IL | |
| P00098316 | Other | IL | RAILROAD MEDICARE |
| 0004923104 | Other | IL | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mghumra186456@direct.edward.org |
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
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
4205 Westbrook Dr
Aurora, IL 60504-4124
Phone (630) 527-1818
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
Hospital & facility affiliations
- F J Home Health Care Inc
- Advocate Sherman Hospital
- Saint Joseph Hospital-Elgin
- Advocate Lutheran General Hospital
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-386778 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
750 Fletcher Dr
Ste 204
Elgin, IL 60123
Phone (847) 931-4526
750 Fletcher Dr
Elgin, IL 60123
Phone (847) 531-5974
Interoperability endpoints
- mghumra186456@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- Home Health Agency
- Oak Lawn, IL
- NPI 1053445320
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1629094834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 FLETCHER DRIVE",
"address_2": "SUITE 204",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234736",
"telephone_number": "847-931-4626",
"fax_number": "847-931-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHUMRA",
"first_name": "MOHAMED",
"middle_name": "KASEER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036-386778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086778",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00098316",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0004923104",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mghumra186456@direct.edward.org",
"affiliation": "N",
"address_1": "750 Fletcher Drive",
"address_2": "Suite 204",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601234736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.