Active NPI
Chinomso Mordi, M.D
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-133512
- Practice address
- 1347 N Western Ave
Chicago, IL 60622-2924 - Phone
- (773) 865-9154
- NPI assigned
- Jun 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-133512 | IL | Primary |
Addresses
Primary practice location
1347 N Western Ave
Chicago, IL 60622-2924
Mailing address
8475 Green Alder CT
Las Vegas, NV 89113-3679
Other names 1
- Chinomso David Mordi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NV, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820000397 | IL | Practitioner - Internal Medicine | 4587806625 | Reassigns benefits to 1 organization |
| I20181119002504 | NV | Practitioner - Hospitalist | 4587806625 | Reassigns benefits to 3 organizations |
| I20240618002183 | SC | Practitioner - Internal Medicine | 4587806625 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.01 of 100
- Quality
- 84.78
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17873 | NV | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 036-133512 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Northern Nevada Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Saint Mary'S Medical Group Inc | Current | Accepting new patients | |
| Bessler MD, PLLC | Internal Medicine | Current | Accepting new patients |
| Saint Marys Urgent Care LLC | Current | Accepting new patients | |
| Rabessler MD PC | Internal Medicine | Current | Accepting new patients |
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Saint Marys Medical Group Inc. | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201
235 W 6th St
Reno, NV 89503
Phone (775) 746-3202
2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888
2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000
1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dmordi1505187@nychhc.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sparks, NV
- NPI 1972751618
Internal Medicine, NV
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine, SC
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Community/Retail Pharmacy
- Reno, NV
- NPI 1447635578
-
- Primary Care Clinic/Center
- Reno, NV
- NPI 1538424239
-
- Multi-Specialty Clinic/Center
- Reno, NV
- NPI 1275898975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1740501485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8475 GREEN ALDER CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222924",
"telephone_number": "773-865-9154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORDI",
"first_name": "CHINOMSO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-17",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-133512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHINOMSO",
"last_name": "MORDI",
"middle_name": "DAVID",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 3, 2024; 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.