Active NPI
Mohammed Miqdad, MD
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1730968397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 125.085108
- Practice address
- 1009 S Wood St
Chicago, IL 60612-3747 - Phone
- (886) 600-2273
- NPI assigned
- Sep 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | W6312 | TX | |
| Nephrology Physician | 207RN0300X | 125.085108 | IL | Primary |
Addresses
Primary practice location
1009 S Wood St
Chicago, IL 60612-3747
Mailing address
1307 N Lawndale Ave Apt 1F
Chicago, IL 60651-2261
Phone (929) 683-3972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520001659 | TX | Practitioner - Nephrology | 1658885132 |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1505 LBJ Fwy
Suite 700
Dallas, TX 75234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W6312 | TX | MD | Nephrology Physician |
Interoperability endpoints
- mmiqdad188840@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1730968397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 N LAWNDALE AVE APT 1F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606512261",
"telephone_number": "929-683-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123747",
"telephone_number": "886-600-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIQDAD",
"first_name": "MOHAMMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-25",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "W6312",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "125.085108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.