Individual provider Active NPI

Obadah Moushmoush, MD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1861020281
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.168691 Issued in IL
Practice address
2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859
Phone
(312) 567-2795
Fax
(800) 707-4890
NPI assigned
Mar 31, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.168691 IL Primary

Addresses

Primary practice location

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859

Mailing address

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859
Phone (312) 567-2795

Other practice location 1

3241 S Michigan Ave
Chicago, IL 60616-4201
Phone (312) 949-7667

Other practice location 2

1950 W Polk St
Chicago, IL 60612-3723
Phone (312) 864-6000

Other practice location 3

4429 W 95th St
Oak Lawn, IL 60453-2625
Phone (708) 422-2665

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
I20260507002609 IL Practitioner - Ophthalmology 5496294076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1950 W Polk St
Suite 78
Chicago, IL 60612-3723

2 Market Plaza Way
Mechanicsburg, PA 17055-5679

2600 S Michigan Ave
Suite 212
Chicago, IL 60616-2859

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retinal Vitreal Consultants LTD Ophthalmology CurrentSince May 1, 2026 Accepting new patients
James C Liang MD SC Ophthalmology PastSince May 1, 2004 Accepting new patients
Acculab Medical Testing Inc PastSince May 1, 2026 Accepting new patients

Locations

2600 S Michigan Ave
Ste 212
Chicago, IL 60616
Phone (312) 567-2795

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

4429 W 95th St
Oak Lawn, IL 60453
Phone (708) 422-2665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJCBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1861020281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162859",
            "telephone_number": "312-567-2795",
            "fax_number": "800-707-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162859",
            "telephone_number": "312-567-2795",
            "fax_number": "800-707-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164201",
            "country_code": "US",
            "telephone_number": "312-949-7667",
            "fax_number": "312-949-7667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 W Polk St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123723",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4429 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532625",
            "country_code": "US",
            "telephone_number": "708-422-2665",
            "fax_number": "708-422-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSHMOUSH",
        "first_name": "OBADAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.168691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.