Active NPI
Jamal Mosabbeh, CRNA
- Certified Registered Nurse Anesthetist
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209016788
- Practice address
- 4201 W Medical Center Dr
McHenry, IL 60050-8409 - Phone
- (815) 344-5000
- Fax
- (815) 344-3347
- NPI assigned
- Jul 18, 2006
- Last updated
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209016788 | IL | Primary |
Addresses
Primary practice location
4201 W Medical Center Dr
McHenry, IL 60050-8409
Mailing address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 344-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MEDICARE MULTISPECIALTY GROUP PTAN |
| 8051601 | Medicaid | NC | |
| P00603483 | Other | NC | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmosabbeh36224@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL, WI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016788 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Medical Specialist Inc | Current | Accepting new patients | |
| The Pain Center of Illinois Inc. | Current | Accepting new patients | |
| Ias Illinois PC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Illinois Back & Neck Institute,PLLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Heritage Family Physicians | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Durham Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cumberland County Hospital System Inc | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
Dept 5777
Carol Stream, IL 60122
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
300 W Butterfield Rd
Ste 102
Elmhurst, IL 60126
300 W Butterfield Rd
Ste 105
Elmhurst, IL 60126
Phone (630) 474-3735
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
150 W High St
Morris, IL 60450
Phone (815) 942-2129
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 18
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1033455118
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
-
dba Illinois Bone & Spine Institute,PLLC
- Ambulatory Surgical Clinic/Center
- Elmhurst, IL
- NPI 1417385790
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1053588079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beloit Memorial Hospital
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1861410771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-344-5000",
"fax_number": "815-344-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-344-5000",
"fax_number": "815-344-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSABBEH",
"first_name": "JAMAL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209016788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MULTISPECIALTY GROUP PTAN",
"identifier": "214881",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051601",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00603483",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmosabbeh36224@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.