Individual provider Active NPI

Watik Maghroudi, MD

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1891350633
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036-157780 Issued in IL
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504001376 IL Practitioner - Family PracticePractitioner - Hospitalist 6507109550 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Doctors Next Door, IncGroup PAC ID 4183069701, 2 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-157780ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Association CurrentSince Feb 21, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 25, 2022 Accepting new patients
Carlinville Area Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Aug 9, 2022 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Aug 9, 2022 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Housecalls Done Wright LTD CurrentSince Apr 1, 2022 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Jan 14, 2024 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 CurrentSince Jan 20, 2024 Accepting new patients
Emergency Services Midwest SC CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association CurrentSince Feb 21, 2023 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

  • Direct secure messaging: wmaghroudimd354790@carlehiedirect.net
  • FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
  • Direct secure messaging: watik.maghroudi.2@4021.direct.athenahealth.com
  • Direct secure messaging: wmaghroudi939411@direct.unitypoint.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.