Active NPI
Mohammed Memon
- Physician Assistant
- Hinsdale, IL
National Provider Identifier
1922519149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.006389
- Practice address
- 908 N Elm St Ste 301
Hinsdale, IL 60521-3625 - Phone
- (630) 794-9999
- NPI assigned
- Oct 15, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.006389 | IL | Primary |
Addresses
Primary practice location
908 N Elm St Ste 301
Hinsdale, IL 60521-3625
Mailing address
10316 Mansfield Ave Apt 3N
Oak Lawn, IL 60453-4393
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181224000391 | IL | Practitioner - Physician Assistant | 2466797238 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prospect Healthcare SC
Practice addresses (Care Compare)
2 E 22ND St
Suite 215
Lombard, IL 60148-6125
Phone (630) 376-6317
Hospital & facility affiliations
- Wellness Specialists Corporation
- Valentine Home Health Care, Inc
- Icare Home Health
- Amma Home Health Care, Inc
- Reliable Medical Services, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 11.97 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 39.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006389 | IL | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Hinsdale, IL
- NPI 1932496726
IL
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Naperville, IL
- NPI 1992025035
-
- Home Health Agency
- Chicago, IL
- NPI 1992912182
-
- Home Health Agency
- Lombard, IL
- NPI 1255640264
-
- Home Health Agency
- Evergreen Park, IL
- NPI 1871853531
-
- Home Health Agency
- Lombard, IL
- NPI 1760714448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508025600000",
"number": "1922519149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10316 MANSFIELD AVE APT 3N",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ELM ST STE 301",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213625",
"telephone_number": "630-794-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "MOHAMMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-15",
"last_updated": "2017-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.006389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.