Active NPI
El-Waleed Mohammed Ali
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 201402094
- Practice address
- 5841 S Maryland Ave # Mc1027
Chicago, IL 60637 - Phone
- (773) 702-7936
- NPI assigned
- Dec 18, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014-02094 | NC | |
| Hypertension Specialist Physician | 207RH0005X | 036.145875 | IL | |
| Hospitalist Physician | 208M00000X | 2014-02094 | NC | |
| Internal Medicine Physician | 207R00000X | 201402094 | NC | Primary |
Addresses
Primary practice location
5841 S Maryland Ave # Mc1027
Chicago, IL 60637
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201402094 | NC | MD | Internal Medicine Physician |
| 036.145875 | IL | MD | Hypertension Specialist Physician |
| 2014-02094 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Bladen Healthcare, LLC | Hospitalist | Current | Accepting new patients |
| Bladen Healthcare LLC | Current | Accepting new patients |
Locations
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
Organizations & group practices 4
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.
-
dba Cape Fear Valley Bladen County Hospital
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
dba CFV Primary Care-Vineland Family Medicine
- Rural Health Clinic/Center
- Whiteville, NC
- NPI 1821764390
-
dba Cape Fear Valley BMA Hospitalists
- Hospitalist Physician
- Elizabethtown, NC
- NPI 1689018756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1942608252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276686",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE # MC1027",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60637",
"telephone_number": "773-702-7936"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED ALI",
"first_name": "EL-WALEED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-18",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2014-02094",
"primary": false
},
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "IL",
"license": "036.145875",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2014-02094",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "201402094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.