Individual provider Active NPI

Mohammed Sajjad, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1780809152
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036122457 Issued in IL
Practice address
6337N Keating Ave
Chicago, IL 60646-4425
Phone
(773) 289-6327
Fax
(773) 847-7879
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036122457 IL Primary

Addresses

Primary practice location

6337N Keating Ave
Chicago, IL 60646-4425

Mailing address

6337N Keating Ave
Chicago, IL 60646-4425
Phone (773) 289-6327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000396 IL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 8628122710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2017 S Western Ave
Chicago, IL 60608-2504
Phone (773) 847-7878

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince May 8, 2012 Accepting new patients
M. Sajjad, M.D., S.C. Family Medicine CurrentSince Apr 30, 2003 Accepting new patients
KND Development 59, LLC CurrentSince May 8, 2012 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Adolfo D. Gonzales, M.D., S.C. Family Medicine PastSince Aug 13, 2013 Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients

Locations

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

2017 S Western Ave
Chicago, IL 60608
Phone (773) 847-7877

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

Organizations & group practices 6

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1780809152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337N KEATING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464425",
            "telephone_number": "773-289-6327",
            "fax_number": "773-847-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337N KEATING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464425",
            "telephone_number": "773-289-6327",
            "fax_number": "773-847-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJAD",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036122457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.