Active NPI
Rana F Mafee, M.D.
- Clinical Neurophysiology Physician
- Westchester, IL
National Provider Identifier
1760427850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 036113756
- Practice address
- 2450 Wolf Rd
Suite D
Westchester, IL 60154-5643 - Phone
- (708) 483-7007
- Fax
- (708) 562-0129
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 036113756 | IL | Primary |
Addresses
Primary practice location
2450 Wolf Rd
Suite D
Westchester, IL 60154-5643
Mailing address
425 Joliet St
Suite 400
Dyer, IN 46311-1765
Phone (219) 488-0165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.113756 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2020 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellsmith PLLC | Past | Accepting new patients | |
| Lakefront Medical Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1144418633
-
- Clinic/Center
- Chicago, IL
- NPI 1477012458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1760427850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 JOLIET ST",
"address_2": "SUITE 400",
"city": "DYER",
"state": "IN",
"postal_code": "463111765",
"telephone_number": "219-488-0165",
"fax_number": "219-865-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 WOLF RD",
"address_2": "SUITE D",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545643",
"telephone_number": "708-483-7007",
"fax_number": "708-562-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFEE",
"first_name": "RANA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "IL",
"license": "036113756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036.113756",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.