Individual provider Active NPI

Sherif M Ragheb, M.D.

  • Otolaryngology Physician
  • Milan, IL
National Provider Identifier
1932170487
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036083798 Issued in IL
Practice address
1931 10TH Ave E
Milan, IL 61264-2953
Phone
(309) 283-5900
Fax
(309) 283-0823
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036083798 IL Primary

Addresses

Primary practice location

1931 10TH Ave E
Milan, IL 61264-2953

Mailing address

1931 10TH Ave E
Milan, IL 61264-2953
Phone (309) 283-5900

Other identifiers 2

IdentifierTypeStateIssuer
08132175OtherILBLUE CROSS BLUE SHIELD
036083798MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1932170487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-283-5900",
            "fax_number": "309-283-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-283-5900",
            "fax_number": "309-283-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHEB",
        "first_name": "SHERIF",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036083798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08132175",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.