Active NPI
Watik Maghroudi, MD
- Hospitalist Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036-157780
- Practice address
- 1127 N Oakley Blvd FL 2
Chicago, IL 60622-3507 - Phone
- (312) 770-2040
- Fax
- (312) 770-3270
- NPI assigned
- May 7, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036-157780 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125073750 | IL | |
| Family Medicine Physician | 207Q00000X | 036-157780 | IL |
Addresses
Primary practice location
1127 N Oakley Blvd FL 2
Chicago, IL 60622-3507
Mailing address
1127 N Oakley Blvd FL 2
Chicago, IL 60622-3507
Phone (312) 770-2040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
701 Devonshire Dr
Suite C14
Champaign, IL 61820-7352
Phone (773) 663-1444
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-157780 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Housecalls Done Wright LTD | Current | Accepting new patients | |
| Carle Health Care Incorporated | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Doctors Next Door, Inc | Family Medicine | Current | Accepting new patients |
| Emergency Services Midwest SC | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients |
Locations
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
701 Devonshire Dr
Ste C14
Champaign, IL 61820
Phone (773) 663-1444
4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- wmaghroudimd354790@carlehiedirect.net
- https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
- watik.maghroudi.2@4021.direct.athenahealth.com
- wmaghroudi939411@direct.unitypoint.org
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
- watik.maghroudi.1@4021.direct.athenahealth.com
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1407550023
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1932275641
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1699317693
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
-
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1891350633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 N OAKLEY BLVD FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223507",
"telephone_number": "312-770-2040",
"fax_number": "312-770-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 N OAKLEY BLVD FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223507",
"telephone_number": "312-770-2040",
"fax_number": "312-770-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGHROUDI",
"first_name": "WATIK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-157780",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125073750",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-157780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.