Individual provider Active NPI

Nadeem Arshad Mughal, M.D.

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1659483600
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-090366 Issued in IL
Practice address
2 E 22ND St Ste 110
Lombard, IL 60148-6100
Phone
(630) 376-3617
Fax
(630) 376-6319
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 036-090366 IL Primary

Addresses

Primary practice location

2 E 22ND St Ste 110
Lombard, IL 60148-6100

Mailing address

2 E 22ND St Ste 110
Lombard, IL 60148-6100
Phone (630) 376-3617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090366ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Doctors LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Housecall Professionals Inc PastSince Jul 1, 2017 Accepting new patients
24 Ihim LLC Internal Medicine PastSince Jul 25, 2019 Accepting new patients
JSK Family Healthcare, P.C PastSince Sep 1, 2006 Accepting new patients

Locations

1480 Renaissance Dr
Ste 414
Park Ridge, IL 60068
Phone (847) 813-6216

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1659483600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST STE 110",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486100",
            "telephone_number": "630-376-3617",
            "fax_number": "630-376-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST STE 110",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486100",
            "telephone_number": "630-376-3617",
            "fax_number": "630-376-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGHAL",
        "first_name": "NADEEM",
        "middle_name": "ARSHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-090366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.