Individual provider Active NPI

Bader Almoshelli, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1699090340
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.134581 Issued in IL
Practice address
1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone
(630) 320-6871
Fax
(630) 385-0026
NPI assigned
Apr 6, 2010
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20176100601 MI
Physical Medicine & Rehabilitation Physician 208100000X 67840 WI
Physical Medicine & Rehabilitation Physician 208100000X 35.121333 OH
Physical Medicine & Rehabilitation Physician 208100000X 036.134581 IL Primary

Addresses

Primary practice location

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952

Mailing address

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Other identifiers 1

IdentifierTypeStateIssuer
036-134581MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, IN, OH, MI, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140612001462 IL Practitioner - Physical Medicine and Rehabilitation 5597907709 Reassigns benefits to 1 organization
I20170515000855 NC Practitioner - Physical Medicine and Rehabilitation 5597907709
I20180814004072 IN Practitioner - Physical Medicine and Rehabilitation 5597907709 Reassigns benefits to 1 organization
I20200728003525 OH Practitioner - Physical Medicine and Rehabilitation 5597907709 Reassigns benefits to 1 organization
I20201002002326 MI Practitioner - Physical Medicine and Rehabilitation 5597907709 Reassigns benefits to 1 organization
I20211209000957 WI Practitioner - Physical Medicine and Rehabilitation 5597907709 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134581ILMDPhysical Medicine & Rehabilitation Physician
20176100601MIMDPhysical Medicine & Rehabilitation Physician
35.121333OHMDPhysical Medicine & Rehabilitation Physician
67840WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Rehab and Health, LLC Physical Medicine & Rehabilitation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1699090340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 165",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813952",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 165",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813952",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMOSHELLI",
        "first_name": "BADER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "20176100601",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "67840",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.121333",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.134581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-134581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.