Active NPI
Atef Moawad, M.D.
- Specialist
- Burr Ridge, IL
National Provider Identifier
1962773275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036046249
- Practice address
- 4 Norman CT
Burr Ridge, IL 60527-0304 - Phone
- (630) 920-9417
- Fax
- (630) 920-9417
- NPI assigned
- Jan 18, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036046249 | IL | Primary |
Addresses
Primary practice location
4 Norman CT
Burr Ridge, IL 60527-0304
Mailing address
4 Norman CT
Burr Ridge, IL 60527-0304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
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": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1962773275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 NORMAN CT",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NORMAN CT",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270304",
"telephone_number": "630-920-9417",
"fax_number": "630-920-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAWAD",
"first_name": "ATEF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036046249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.