Individual provider Active NPI

Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
National Provider Identifier
1811172018
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
036127169 Issued in IL
Practice address
1270 Village Dr
Lemont, IL 60439-3790
Phone
(630) 686-9000
Fax
(844) 235-2578
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036127169 IL
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036127169 IL Primary

Addresses

Primary practice location

1270 Village Dr
Lemont, IL 60439-3790

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 2

IdentifierTypeStateIssuer
036127169MedicaidIL
F100323989OtherILGROUP MEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mohammed.yousuf@dulyhealthandcare.com

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
I20121110000204 IL Practitioner - Geriatric MedicinePractitioner - Family Practice 4981855434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

  • Home Health One, LTD Home health agency, Westmont, IL, CCN 147999
  • Alc Home Health Care Inc Home health agency, Elmhurst, IL, CCN 147911
  • Luxe Home Health Home health agency, Des Plaines, IL, CCN 148317
  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Angels Grace Hospice Hospice, Bolingbrook, IL, CCN 141644
  • Lighthouse Hospice Care LLC Hospice, Naperville, IL, CCN 141713
  • Lightways Hospice and Serious Illness Care Hospice, Joliet, IL, CCN 141539
  • St Croix Hospice Lombard Hospice, Lombard, IL, CCN 141624
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Thrive of Lisle Nursing home, Lisle, IL, CCN 146192
  • Thrive of Fox Valley Nursing home, Aurora, IL, CCN 146194
  • Oak Trace Nursing home, Downers Grove, IL, CCN 145804
  • St Patrick'S Residence Nursing home, Naperville, IL, CCN 145878
  • Tabor Hills Health Care Fac Nursing home, Naperville, IL, CCN 145840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036127169ILMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Aug 1, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

6101 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 323-2250

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

1270 Village Dr
Lemont, IL 60439
Phone (630) 243-3500

801 N Cass Ave
Ste 300
Westmont, IL 60559
Phone (630) 628-8889

Interoperability endpoints

  • Direct secure messaging: myousuf15913@dulyhealthandcare.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ih Lisle Opco, LLCLisle, IL, CCN 146192 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2022
Dec 1, 2022
Thrive Fox ValleyAurora, IL, CCN 146194 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2020
Dec 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1811172018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 VILLAGE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393790",
            "telephone_number": "630-686-9000",
            "fax_number": "844-235-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "MOHAMMED",
        "middle_name": "AKBAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127169",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036127169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127169",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "F100323989",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammed.yousuf@dulyhealthandcare.com",
            "affiliation": "N",
            "address_1": "6101 S County Line Rd",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605278132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.