Individual provider Active NPI

Seema Mir, MD

  • Hospitalist Physician
  • Maywood, IL
National Provider Identifier
1659936490
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036172523 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153
Phone
(708) 216-0891
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.172523 IL
Hospitalist Physician 208M00000X 036172523 IL Primary
Internal Medicine Physician 207R00000X MD.45380 AL

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-0891

Other practice location 1

2350 Schillinger Rd S
Ste A
Mobile, AL 36695-4177
Phone (251) 633-0123

Other practice location 2

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

Other practice location 3

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

Other practice location 4

2451 University Hospital Dr Rm 714
Mobile, AL 36617-2300
Phone (251) 471-7207

Other identifiers 3

IdentifierTypeStateIssuer
308706MedicaidAL
308886MedicaidAL
315521MedicaidAL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125002378 IL Practitioner - Hospitalist 7618375791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.172523ILMDInternal Medicine Physician
036172523ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Dec 1, 2024 Accepting new patients

Locations

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Organizations & group practices 2

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 2

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1659936490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-0891",
            "fax_number": "708-216-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Schillinger Rd S",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954177",
            "country_code": "US",
            "telephone_number": "251-633-0123",
            "fax_number": "251-445-3722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4402 Old Shell Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081912",
            "country_code": "US",
            "telephone_number": "251-633-0123",
            "fax_number": "251-445-3722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7943 Moffett Rd",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365755409",
            "country_code": "US",
            "telephone_number": "251-633-0123",
            "fax_number": "251-445-3722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 University Hospital Dr Rm 714",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-471-7207",
            "fax_number": "251-471-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "SEEMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.172523",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036172523",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.45380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308706",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308886",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315521",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.