NPIMap

Individual provider Active NPI

Mohammed Mohsin Khadir, M.D.

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1679862296
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
336101135 Issued in IL
Practice address
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone
(773) 542-2000
NPI assigned
Apr 5, 2011
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 01078600A IN
Vascular & Interventional Radiology Physician 2085R0204X 336101135 IL Primary

Addresses

Primary practice location

1500 S Fairfield Ave
Chicago, IL 60608-1782

Mailing address

10010 Calumet Ave
Munster, IN 46321-4055
Phone (219) 924-3450

Other practice location 1

901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 451-7356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170621003114 IL Practitioner - Diagnostic Radiology 7113218173 Reassigns benefits to 6 organizations
I20220803003437 WI Practitioner - Interventional Radiology 7113218173 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Midwest Radiology S CGroup PAC ID 0941273320, 24 clinicians
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians
Loretto HospitalGroup PAC ID 5193725893, 38 clinicians
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

12701 W 143Rd St
Homer Glen, IL 60491-7715
Phone (815) 300-4536

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 717-8478

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-5567

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336101135ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Midwest Radiology S C CurrentSince Aug 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 8, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 8, 2022 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC CurrentSince Feb 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 8, 2022 Accepting new patients
Mount Sinai Community Foundation CurrentSince Dec 13, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 8, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 8, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 8, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 8, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 8, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 8, 2022 Accepting new patients
Mount Sinai Community Foundation CurrentSince Dec 13, 2025 Accepting new patients
Nephrology Specialists, PC. PastSince Jul 24, 2022 Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: mohammed.khadir@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 9

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1679862296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-924-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-542-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212901",
            "country_code": "US",
            "telephone_number": "219-836-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-451-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADIR",
        "first_name": "MOHAMMED",
        "middle_name": "MOHSIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01078600A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "336101135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.