NPIMap

Individual provider Active NPI

Mohamad Barakat, MD

  • Nephrology Physician
  • Oak Lawn, IL
National Provider Identifier
1770523201
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036078010 Issued in IL
Practice address
4700 W 95TH St
Suite 103
Oak Lawn, IL 60453-2533
Phone
(708) 422-9771
Fax
(708) 422-9024
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036078010 IL Primary

Addresses

Primary practice location

4700 W 95TH St
Suite 103
Oak Lawn, IL 60453-2533

Mailing address

4700 W 95TH St
Oak Lawn, IL 60453-2539
Phone (708) 422-9771

Other identifiers 3

IdentifierTypeStateIssuer
036078010OtherILSTATE LICENSE
731670553OtherTAX ID
036078010MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000976 IL Practitioner - Internal MedicinePractitioner - Nephrology 6204746258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Associates LTDGroup PAC ID 3577595545, 6 clinicians

Practice addresses (Care Compare)

17800 S Kedzie
Hazel Crest, IL 60429-2029
Phone (708) 799-8000

2310 York St
Blue Island, IL 60406-2411
Phone (708) 597-9933

3401 W 111TH St
Chicago, IL 60655-3329
Phone (773) 445-0558

3913 W 95TH St
Evergreen Park, IL 60805-1903
Phone (708) 570-4461

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 425-8000

6300 W 95TH St
Oak Lawn, IL 60453-2256
Phone (708) 599-4981

8058 S Western Ave
Chicago, IL 60620-5936
Phone (708) 251-4190

9160 W 159TH St
Orland Park, IL 60462-5648
Phone (708) 403-2790

Hospital & facility affiliations

  • DaVita Mt Greenwood Dialysis Dialysis facility, Chicago, IL, CCN 142660
  • DaVita Olympia Fields Dialysis Center Dialysis facility, Matteson, IL, CCN 142548
  • Dialyze Direct Il - Glen Ellyn Dialysis facility, Glen Ellyn, IL, CCN 142752
  • Dialysis Direct - Oak Park Dialysis facility, Oak Park, IL, CCN 142676
  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • RML Health Providers Limited Partnership Long-term care hospital, Hinsdale, IL, CCN 142010

Merit-based Incentive Payment System (MIPS)

Final score
25.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036078010ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology PastSince Jan 1, 1990 Accepting new patients
WSKC Dialysis Services, Inc. Past Accepting new patients
Abdol H Azaran MD SC Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbarakat137545@direct.franciscanalliance.org

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1770523201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532539",
            "telephone_number": "708-422-9771",
            "fax_number": "708-422-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 103",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-422-9771",
            "fax_number": "708-422-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036078010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036078010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "731670553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.