Active NPI
Ayman Rawda, MD
- Pediatrics Physician
- Oak Lawn, IL
National Provider Identifier
1902911050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036119571
- Practice address
- 9939 Southwest Hwy
Oak Lawn, IL 60453-3767 - Phone
- (708) 424-0900
- Fax
- (708) 424-1715
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036119571 | ID | Primary |
Addresses
Primary practice location
9939 Southwest Hwy
Oak Lawn, IL 60453-3767
Mailing address
9939 Southwest Hwy
Oak Lawn, IL 60453-3767
Phone (708) 424-0900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119517 | Medicaid | IL | |
| 748195000 | Medicaid | MN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036119571 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Pediatrics on Demand, Inc. | Pediatrics | Current | Accepting new patients |
| Minis Inc | Pediatrics | Past | Accepting new patients |
| Advocate North Side Health Network | Past | Accepting new patients |
Locations
9939 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-0900
9930 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-0900
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/3895/brand/1/csg/1/fhir/r4
- arawda181572@uchospital.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Pediatrics Physician
- Oak Lawn, IL
- NPI 1558593053
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
-
- Pediatrics Physician
- Oak Lawn, IL
- NPI 1386298362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1902911050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533767",
"telephone_number": "708-424-0900",
"fax_number": "708-424-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533767",
"telephone_number": "708-424-0900",
"fax_number": "708-424-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWDA",
"first_name": "AYMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "036119571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036119517",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "748195000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.