Individual provider Active NPI

Mohammad Zeina

  • Certified Registered Nurse Anesthetist
  • Palos Hills, IL
National Provider Identifier
1669148359
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209027826 Issued in IL
Practice address
11 Cour Madeleine
Palos Hills, IL 60465-2409
Phone
(708) 415-8255
NPI assigned
Aug 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041461382 IL
Certified Registered Nurse Anesthetist 367500000X 209027826 IL Primary

Addresses

Primary practice location

11 Cour Madeleine
Palos Hills, IL 60465-2409

Mailing address

11 Cour Madeleine
Palos Hills, IL 60465-2409
Phone (708) 415-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803001400 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820459043 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Illinois Professional CorporationGroup PAC ID 1254826175, 42 clinicians
Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546

900 N 2ND St
Rochelle, IL 61068-1764
Phone (800) 475-6236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041461382ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2024 Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 3, 2023 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
Premier Anesthesia of Illinois Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2025 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

Organizations & group practices 6

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 1

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": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1669148359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COUR MADELEINE",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652409",
            "telephone_number": "708-415-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COUR MADELEINE",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652409",
            "telephone_number": "708-415-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEINA",
        "first_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041461382",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209027826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.