Individual provider Active NPI

Elsayed Mohamed, MD

  • Interventional Cardiology Physician
  • Schaumburg, IL
National Provider Identifier
1841484813
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036121677 Issued in IL
Practice address
804 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4776
Phone
(847) 605-9500
Fax
(847) 605-8700
NPI assigned
Aug 31, 2007
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036121677 IL Primary

Addresses

Primary practice location

804 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4776

Mailing address

1735 Rowntree LN
Rockford, IL 61107-2758

Other practice location 1

7035 North Ave
Oak Park, IL 60302-1015
Phone (708) 680-3800

Other identifiers 2

IdentifierTypeStateIssuer
036121677MedicaidIL
F400471327OtherILPTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000126 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6204904972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicago Cardiology Institute SCGroup PAC ID 6103983176, 23 clinicians

Practice addresses (Care Compare)

804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776
Phone (847) 605-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
86.16
Promoting interoperability
100
Improvement activities
40
Cost
74.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10
Varicose vein removal98
Leg revascularization (restoring blood flow)23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Jan 1, 2014 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Chicago Cardiology Institute S.C. Interventional Cardiology CurrentSince Jun 1, 2018 Accepting new patients
Edward Hospital CurrentSince Jan 1, 2014 Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Jun 1, 2018 Accepting new patients

Locations

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

7035 North Ave
Oak Park, IL 60302
Phone (708) 358-1000

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

802 E Woodfield Rd
Ste 200
Schaumburg, IL 60173
Phone (847) 240-9500

804 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

804 E Woodfield Rd
Ste 300
Schaumburg, IL 60173
Phone (847) 605-0030

812 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

Interoperability endpoints

  • Direct secure messaging: elsayed.mohamed.p1@direct.chicagocardiology.nextgenshare.com
  • Direct secure messaging: emohamed124929@direct.luhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1841484813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ROWNTREE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD STE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "847-605-9500",
            "fax_number": "847-605-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 North Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021015",
            "country_code": "US",
            "telephone_number": "708-680-3800",
            "fax_number": "708-777-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ELSAYED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036121677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121677",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "F400471327",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.