Intermed, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERMED, LTD

Practice address

418 Sherwood Rd
Lagrange Park, IL 60526-1968

Phone

(708) 482-3600

Fax

(708) 482-3005

NPI assigned

Nov 21, 2006

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed S Kholoki, MDNPI 1275679755

Title

Owner

Phone

(708) 482-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACBACD

Practitioners 4

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.

• Mohamed S Kholoki, MD

  • Legal Medicine
  • La Grange Park, IL
  • NPI 1275679755
  Medicare reassignment NPD Authorized official
• Asha Thomas, M.D.

  • Internal Medicine Physician
  • Westchester, IL
  • NPI 1124171459
  Medicare reassignment NPD
• Lavinia Raluca Baldi, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1689293193
  Medicare reassignment
• Anthony W. Delorenzo, D.O.

  • Internal Medicine Physician
  • Willowbrook, IL
  • NPI 1851477236
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1780759357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SHERWOOD RD",
            "city": "LAGRANGE PARK",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-482-3600",
            "fax_number": "708-482-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHERWOOD RD",
            "city": "LAGRANGE PARK",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-482-3600",
            "fax_number": "708-482-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "KHOLOKI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-482-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Fred Hirsch, MD
• Horizon Medical Care,Inc.
• Michelle Hosty, MS OTR/L
• Ashley Howard
• Iffath Hussain, M.D.
• Ellyn Elizabeth Jager
• James M Fieldhouse DDS LTD
• Lutisha Jefferson
• Jill Johnson, CADC
• Kirk Jones, DC

• Internal Medicine Physician in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.