Individual provider Active NPI

Essam Fathy Mekhaiel, MD

  • Pulmonary Disease Physician
  • Chicago Ridge, IL
National Provider Identifier
1659558666
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2013022885 Issued in MO
Practice address
10604 Southwest Highway
Ste 107
Chicago Ridge, IL 60415-2717
Phone
(708) 371-8006
Fax
(708) 389-6630
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2013022885 MO Primary

Addresses

Primary practice location

10604 Southwest Highway
Ste 107
Chicago Ridge, IL 60415-2717

Mailing address

10604 Southwest Highway
Ste 107
Chicago Ridge, IL 60415-2717
Phone (708) 371-8006

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
I20080520000862 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 0244309987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Pulmonary Critical Care and Sleep Consultants LLCGroup PAC ID 5799048526, 31 clinicians

Practice addresses (Care Compare)

12820 S Ridgeland Ave
Suite B
Palos Heights, IL 60463-2389
Phone (708) 371-8006

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Pulmonary Critical Care & Sleep Consultants LLC Pulmonary Disease CurrentSince May 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Pulmonary Disease CurrentSince Jan 1, 2016 Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

28592 Network Pl
Chicago, IL 60673

29777 Network Pl
Chicago, IL 60673

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

10604 Southwest Hwy
Ste 107
Chicago Ridge, IL 60415
Phone (708) 371-8006

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

12820 S Ridgeland Ave
Ste B
Palos Heights, IL 60463
Phone (708) 371-8006

Organizations & group practices 5

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 6

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1659558666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HIGHWAY",
            "address_2": "STE 107",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-371-8006",
            "fax_number": "708-389-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HIGHWAY",
            "address_2": "STE 107",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-371-8006",
            "fax_number": "708-389-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHAIEL",
        "first_name": "ESSAM",
        "middle_name": "FATHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2013022885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.