Individual provider Active NPI

Alan Scott Harad, M.D.

  • Surgery Physician
  • Mount Vernon, IL
National Provider Identifier
1679579510
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Practice address
4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156
Phone
(618) 242-8480
Fax
(618) 242-8499
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X IL Primary

Addresses

Primary practice location

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156

Mailing address

PO Box 968
Mount Vernon, IL 62864-0020
Phone (618) 242-8480

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
I20060913000230 IL Practitioner - General Surgery 7416951074 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Il, S.C. Surgery CurrentSince Sep 19, 2022 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Surgery CurrentSince Dec 20, 2012 Accepting new patients

Locations

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348

2 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3970

4218 Lincolnshire Dr
Mount Vernon, IL 62864
Phone (618) 242-8480

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4
  • Direct secure messaging: aharad01@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1679579510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640020",
            "telephone_number": "618-242-8480",
            "fax_number": "618-242-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 LINCOLNSHIRE DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642156",
            "telephone_number": "618-242-8480",
            "fax_number": "618-242-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAD",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.