Individual provider Active NPI

Mussarat Arshad, M.D.

  • Pediatrics Physician
  • Algonquin, IL
National Provider Identifier
1801968953
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
336053897 Issued in IL
Practice address
2575 W Algonquin Rd
Suite a
Algonquin, IL 60102-9403
Phone
(847) 658-4403
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 336053897 IL Primary

Addresses

Primary practice location

2575 W Algonquin Rd
Suite a
Algonquin, IL 60102-9403

Mailing address

4 Shearwater CT
Hawthorn Woods, IL 60047-7523
Phone (847) 540-2321

Other identifiers 1

IdentifierTypeStateIssuer
036092453MedicaidIL

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
I20200206001829 IL Practitioner - Pediatric Medicine 7315373594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336053897ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Dec 22, 2019 Accepting new patients
County of Lake CurrentSince Dec 22, 2019 Accepting new patients
Tots N Teens Health Associates S.C. Pediatrics Past Accepting new patients
County of Lake Past Accepting new patients
Pediatrics and Child Development Clinic Inc. Past Accepting new patients

Locations

1840 Green Bay Rd
Highland Park, IL 60035
Phone (847) 984-5300

18698 W Peterson Rd
Libertyville, IL 60048
Phone (847) 377-4871

800 High School Dr
Round Lake, IL 60073
Phone (847) 270-9300

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

Organizations & group practices 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1801968953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHEARWATER CT",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600477523",
            "telephone_number": "847-540-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W ALGONQUIN RD",
            "address_2": "SUITE A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029403",
            "telephone_number": "847-658-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSHAD",
        "first_name": "MUSSARAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "336053897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.