Individual provider Active NPI

Maher C Nahlawi, MD

  • Cardiovascular Disease Physician
  • Libertyville, IL
National Provider Identifier
1881688596
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036098531 Issued in IL
Practice address
1870 W Winchester Rd Ste 241
Libertyville, IL 60048-5360
Phone
(847) 549-0170
Fax
(847) 549-0172
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35074617N OH
Cardiovascular Disease Physician 207RC0000X 036098531 IL Primary

Addresses

Primary practice location

1870 W Winchester Rd Ste 241
Libertyville, IL 60048-5360

Mailing address

1870 W Winchester Rd Ste 241
Libertyville, IL 60048-5360
Phone (847) 549-0170

Other identifiers 2

IdentifierTypeStateIssuer
036098531MedicaidIL
7028572OtherILAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnahlawi236519@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20040206000731 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 3779476221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Heart SpecialistsGroup PAC ID 6305749490, 6 clinicians

Practice addresses (Care Compare)

1870 W Winchester Rd
Suite 241
Libertyville, IL 60048-5360
Phone 84754901700

Hospital & facility affiliations

  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10
Varicose vein removal61
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074617NOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Heart Specialists Cardiovascular Disease CurrentSince Oct 13, 2003 Accepting new patients

Locations

35 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 360-2844

731 S Il Route 21
Ste 110
Gurnee, IL 60031
Phone (224) 206-8974

1870 W Winchester Rd
Ste 241
Libertyville, IL 60048
Phone (847) 360-2844

Interoperability endpoints

  • Direct secure messaging: mahernahlawi@lhs.allscriptsdirect.net
  • Direct secure messaging: mnahlawi236519@direct.myadvocateaurora.org

Organizations & group practices 1

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 7

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1881688596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 241",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485360",
            "telephone_number": "847-549-0170",
            "fax_number": "847-549-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 241",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485360",
            "telephone_number": "847-549-0170",
            "fax_number": "847-549-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHLAWI",
        "first_name": "MAHER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35074617N",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036098531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7028572",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnahlawi236519@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1870 W Winchester Rd Ste 241",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1870 W Winchester Rd Ste 241",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.