Individual provider Active NPI

Rana F Mafee, M.D.

  • Clinical Neurophysiology Physician
  • Westchester, IL
National Provider Identifier
1760427850
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
036113756 Issued in IL
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

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036.113756MedicaidIL

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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Wellsmith PLLC PastSince Oct 20, 2024 Accepting new patients
Lakefront Medical Associates LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.