Organization Active NPI

Mohammad Waseem Kagzi MD LTD

Doing business as Midwest Sleep Institute

  • Sleep Medicine (Internal Medicine) Physician
  • Gurnee, IL
National Provider Identifier
1750568960
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
036091991 Issued in IL
Legal business name
MOHAMMAD WASEEM KAGZI MD LTD
Doing business as
Midwest Sleep Institute
Practice address
731 S Il Rte 21
120
Gurnee, IL 60031-5258
Phone
(847) 855-9700
Fax
(847) 855-8990
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Mohammad Waseem Kagzi, M.D.NPI 1659347409
Title
Office Manager
Phone
(847) 855-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036091991 IL
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 036091991 IL Primary

Addresses

Primary practice location

731 S Il Rte 21
120
Gurnee, IL 60031-5258

Mailing address

731 S Il Route 21
120
Gurnee, IL 60031-3813
Phone (847) 855-9700

Other names 1

  • Midwest Sleep Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040723001189 IL Part B Supplier - Clinic/Group Practice 6406836998 Receives reassigned benefits from 4 practitioners
Practice locations: Grayslake, IL; Gurnee, IL; Libertyville, IL; Lombard, IL; Oak Park, IL; Schaumburg, IL
O20100930034372 IL DME Supplier - Physician - Internal Medicine 6406836998 Practice locations: Gurnee, IL

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Waseem Kagzi MD LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5962 N Lincoln Ave
Ste 201
Chicago, IL 60659
Phone (847) 855-9700

6440 Grand Ave
Ste 203
Gurnee, IL 60031
Phone (847) 855-9700

6440 Grand Ave
Ste 20
Gurnee, IL 60031

6440 Grand Ave
Ste 105
Gurnee, IL 60031
Phone (847) 855-9700

731 S Il Route 21
Ste 120
Gurnee, IL 60031
Phone (847) 855-9700

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1750568960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL RTE 21",
            "address_2": "120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315258",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD WASEEM KAGZI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "KAGZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "WASEEM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-855-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091991",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036091991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Sleep Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Sleep Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.