Individual provider Active NPI

Mouhammed Kelta, M.D

  • Hematology & Oncology Physician
  • Burr Ridge, IL
National Provider Identifier
1649633918
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036087250 Issued in IL
Practice address
1 Andrew CT
Burr Ridge, IL 60527-8128
Phone
(630) 560-9288
NPI assigned
Apr 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036087250 IL Primary

Addresses

Primary practice location

1 Andrew CT
Burr Ridge, IL 60527-8128

Mailing address

62647 Collection Center Dr
Chicago, IL 60693-0626
Phone (708) 478-4302

Other practice location 1

3900 W 203rd ST
Olympia Fields, IL 60461-1183
Phone (708) 855-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160509001960 WI Practitioner - Hematology/Oncology 1557660834 Reassigns benefits to 1 organization
I20161005001042 IL Practitioner - Hematology/Oncology 1557660834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 109
Chicago Ridge, IL 60415-2717
Phone (708) 424-9710

1725 W Harrison St
Suite 1010
Chicago, IL 60612-3841
Phone (312) 942-5904

19060 Everett Blvd
Suite 112
Mokena, IL 60448-1942
Phone (708) 478-4302

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5475

82 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 342-1900

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC Hematology & Oncology CurrentSince Oct 1, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 15, 2016 Accepting new patients
Rush University Medical Group CurrentSince Sep 3, 2021 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 17, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 15, 2016 Accepting new patients
Rush University Medical Center CurrentSince Sep 3, 2021 Accepting new patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients
Express Urgent Care LLC PastSince Sep 1, 2018 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

35318 Eagle Way
Chicago, IL 60678

29980 Network Pl
Chicago, IL 60673

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

1890 Silver Cross Blvd
Ste 535
New Lenox, IL 60451
Phone (708) 382-0544

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

6700 W 95th St
Ste 330
Oak Lawn, IL 60453
Phone (708) 422-3242

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

Interoperability endpoints

  • Direct secure messaging: mouhammed.kelta@affiliatedoncologists.ikm.direct-ci.com
  • Direct secure messaging: mkelta183922@direct.rush.rush-health.com

Organizations & group practices 9

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1649633918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62647 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930626",
            "telephone_number": "708-478-4302",
            "fax_number": "708-265-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANDREW CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278128",
            "telephone_number": "630-560-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 W 203rd ST",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611183",
            "country_code": "US",
            "telephone_number": "708-855-7069",
            "fax_number": "708-503-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTA",
        "first_name": "MOUHAMMED",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036087250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.