Mohamed S Afifi, MD
Individual provider Active NPI Critical Care Medicine (Anesthesiology) Physician · Chicago, IL
NPI 1922098524 · NPPES record last updated Jun 19, 2009
Key facts
- NPI
- 1922098524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician 207LC0200X
- License
- 036107813 (IL)
- Practice address
- 680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546 - Phone
- (312) 695-9797
- Fax
- (312) 695-8341
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
250 E Superior
2304 Nwmff Prent WMN Hosp
Chicago, IL 60611-2914
Phone (312) 472-3660
250 E Superior St
Chicago, IL 60611-2914
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
259 E Erie St
Chicago, IL 60611-2930
Phone (312) 503-1944
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000345 | IL | Practitioner - Anesthesiology |
3274558721 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107813 | IL | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
251 E Huron St
#8336
Chicago, IL 60611
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036107813 | IL | Yes |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Mailing address
251 E Huron St
Feinburg 8-336
Chicago, IL 60611-2908
Phone (312) 695-9797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036107813 | Medicaid | IL |
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- Nurudeen Afolabi
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All providers in Chicago, IL · Critical Care Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.