Organization Active NPI

M&S Arain M D S & S C

  • Surgery Physician
  • Downers Grove, IL
National Provider Identifier
1649442856
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036046816 Issued in IL
Legal business name
M&S ARAIN M D S & S C
Practice address
4121 Fairview Ave
Suite 102
Downers Grove, IL 60515-2264
Phone
(630) 968-2700
Fax
(630) 968-2719
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Mohammed Murtaza Arain, M.D.NPI 1992781108
Title
Surgeon
Phone
(630) 968-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036046816 IL Primary

Addresses

Primary practice location

4121 Fairview Ave
Suite 102
Downers Grove, IL 60515-2264

Mailing address

4121 Fairview Ave
Suite 102
Downers Grove, IL 60515-2264
Phone (630) 968-2700

Other identifiers 1

IdentifierTypeStateIssuer
036046816MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000356 IL Part B Supplier - Clinic/Group Practice 1850558792 Receives reassigned benefits from 1 practitioner
Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

4121 Fairview Ave
Ste 102
Downers Grove, IL 60515
Phone (630) 968-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1649442856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE 102",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-968-2700",
            "fax_number": "630-968-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE 102",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-968-2700",
            "fax_number": "630-968-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&S ARAIN M D S & S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "ARAIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "MURTAZA",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "630-968-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036046816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046816",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.