Active NPI
Mohammad Zeina
- Certified Registered Nurse Anesthetist
- Palos Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209027826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041461382 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
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.