Active NPI
Sherif M Ragheb, M.D.
- Otolaryngology Physician
- Milan, IL
National Provider Identifier
1932170487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036083798
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08132175 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036083798 | Medicaid | IL |
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.