Individual provider Active NPI

Safder Mohsin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Schaumburg, IL
National Provider Identifier
1962428995
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036069581 Issued in IL
Practice address
800 E Woodfield Rd
Ste 102
Schaumburg, IL 60173-4717
Phone
(847) 995-9500
Fax
(847) 995-9501
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036069581 IL Primary

Addresses

Primary practice location

800 E Woodfield Rd
Ste 102
Schaumburg, IL 60173-4717

Mailing address

800 E Woodfield Rd
Suite 102
Schaumburg, IL 60173-4717
Phone (847) 995-9500

Other identifiers 1

IdentifierTypeStateIssuer
036069581MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000772 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1557309036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1555 N Barrington Rd
Suite 310
Hoffman Estates, IL 60169-1079
Phone (847) 884-8160

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Partners, LLC CurrentSince Apr 30, 2008 Accepting new patients
Foot & Ankle Clinics Past Accepting new patients
Alexian Brothers Medical Center Past Accepting new patients
Alexian Brothers Medical Center Past Accepting new patients
Bonaventure Medical Foundation, LLC Family Medicine PastSince Apr 1, 2009 Accepting new patients

Locations

1442 Merchant Dr
Algonquin, IL 60102
Phone (224) 241-8427

39637 Treasury Ctr
Chicago, IL 60694

800 E Woodfield Rd
Ste 102
Schaumburg, IL 60173
Phone (312) 248-7695

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1962428995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734717",
            "telephone_number": "847-995-9500",
            "fax_number": "847-995-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734717",
            "telephone_number": "847-995-9500",
            "fax_number": "847-995-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "SAFDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036069581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.