Active NPI
Maaz Syed Mohiuddin, M.D.
- Allergy & Immunology Physician
- Crest Hill, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 336094071
- Practice address
- 2228 Weber Rd
Crest Hill, IL 60403 - Phone
- (815) 729-9900
- NPI assigned
- Apr 10, 2008
- Last updated
- Aug 5, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50071 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Allergy & Immunology Physician | 207K00000X | 336094071 | IL | Primary |
Addresses
Primary practice location
2228 Weber Rd
Crest Hill, IL 60403
Mailing address
2228 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 729-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71780521 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2913 N Commonwealth Ave
FL 5
Chicago, IL 60657-6211
Phone (815) 729-9900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.67 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 58.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336094071 | IL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Insight Chicago, Inc. | Allergy & Immunology | Current | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
Organizations & group practices 3
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.
-
dba Ahmed A. Mohiuddin, M.D.
- Allergy & Immunology Physician
- Crest Hill, IL
- NPI 1730228610
-
dba Insight Hospital & Medical Center Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
Allergy & Immunology
-
dba Insight Hospital & Medical Center Chicago
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1720251697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 WEBER RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604030928",
"telephone_number": "815-729-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 WEBER RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "60403",
"telephone_number": "815-729-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHIUDDIN",
"first_name": "MAAZ",
"middle_name": "SYED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "50071",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "336094071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71780521",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crest Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.