Individual provider Active NPI

Elias Moussi Saad, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1720838907
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125084325 Issued in IL
Practice address
840 S Wood St
RM. 1424N
Chicago, IL 60612-7324
Phone
(832) 425-9643
Fax
(253) 237-9292
NPI assigned
Mar 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125084325 IL Primary

Addresses

Primary practice location

840 S Wood St
RM. 1424N
Chicago, IL 60612-7324

Mailing address

840 S Wood St # Mc856
Chicago, IL 60612-7324
Phone (832) 425-9643

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
I20240621000273 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2365985140

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: melias412504@direct.myadvocateaurora.org
  • Direct secure messaging: emoussisaad171007@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1720838907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST # MC856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127324",
            "telephone_number": "832-425-9643",
            "fax_number": "253-237-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "RM. 1424N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127324",
            "telephone_number": "832-425-9643",
            "fax_number": "253-237-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSI SAAD",
        "first_name": "ELIAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125084325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.