Individual provider Active NPI

Mohamed Boshnaf

  • Internal Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1811575145
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036168476 Issued in IL
Practice address
3201 Springhill Dr Ste 100
North Little Rock, AR 72117-2905
Phone
(501) 955-4530
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036168476 IL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 036168476 IL Primary

Addresses

Primary practice location

3201 Springhill Dr Ste 100
North Little Rock, AR 72117-2905

Mailing address

15127 Orlan Brook Dr Apt 3N
Orland Park, IL 60462-3951
Phone (646) 226-8505

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
I20240410000520 IL Practitioner - Internal MedicinePractitioner - Hospitalist 3476961327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Cep America-Illinois Hospitalists, LLPGroup PAC ID 3274765904, 193 clinicians

Practice addresses (Care Compare)

101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Hospitalist Current Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince May 1, 2024 Accepting new patients
Altea Medical Illinois PLLC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Apr 17, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
Jefferson Park Medical Group, P.C. CurrentSince Mar 28, 2024 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

405 W Jackson St
Carbondale, IL 62901

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

5906 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-7300

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

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367

Interoperability endpoints

  • Direct secure messaging: mboshnaf76963@sih.direct-ci.com

Organizations & group practices 11

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 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1811575145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 ORLAN BROOK DR APT 3N",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623951",
            "telephone_number": "646-226-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SPRINGHILL DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172905",
            "telephone_number": "501-955-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHNAF",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036168476",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036168476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.