Individual provider Active NPI

Mohammad Waseem Kagzi, MD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1659347409
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036091991 Issued in IL
Practice address
731 S Il Route 21
Unit 120
Gurnee, IL 60031-3803
Phone
(847) 855-9700
Fax
(847) 855-8990
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036091991 IL Primary

Addresses

Primary practice location

731 S Il Route 21
Unit 120
Gurnee, IL 60031-3803

Mailing address

731 S Il Route 21
Unit 120
Gurnee, IL 60031-3803
Phone (847) 855-9700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723001196 IL Practitioner - Internal MedicinePractitioner - Sleep Medicine 3678553161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mohammad Waseem Kagzi MD LTDGroup PAC ID 6406836998, 2 clinicians

Practice addresses (Care Compare)

731 S Il Route 21
Suite 120
Gurnee, IL 60031-3803
Phone (847) 855-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Waseem Kagzi MD LTD Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Mohammad Waseem Kagzi MD LTD Internal Medicine Current Accepting new patients
We Care Physicians Inc PastSince Feb 10, 2017 Accepting new patients

Locations

5962 N Lincoln Ave
Ste 201
Chicago, IL 60659
Phone (847) 855-9700

731 S Il Route 21
Ste 120
Gurnee, IL 60031
Phone (847) 855-9700

6440 Grand Ave
Ste 20
Gurnee, IL 60031

6440 Grand Ave
Ste 203
Gurnee, IL 60031
Phone (847) 855-9700

Interoperability endpoints

  • Direct secure messaging: mohammad.kagzi.1@17122.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1659347409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "UNIT 120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313803",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "UNIT 120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313803",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGZI",
        "first_name": "MOHAMMAD",
        "middle_name": "WASEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.