Active NPI
Mohammed M Adil, MD
- Pediatrics Physician
- Crest Hill, IL
National Provider Identifier
1972565679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-095236
- Practice address
- 2226 Weber Rd
Crest Hill, IL 60403-0928 - Phone
- (815) 729-3006
- Fax
- (866) 757-6056
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-095236 | IL | Primary |
Addresses
Primary practice location
2226 Weber Rd
Crest Hill, IL 60403-0928
Mailing address
800 Shanahan CT
Naperville, IL 60540-8219
Phone (815) 729-3006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9932210 | Other | IL | BCBSIL |
| 036095236 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726000271 | IL | Practitioner - Pediatric Medicine | 4082694229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-095236 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1972565679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SHANAHAN CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408219",
"telephone_number": "815-729-3006",
"fax_number": "866-757-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 WEBER RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604030928",
"telephone_number": "815-729-3006",
"fax_number": "866-757-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIL",
"first_name": "MOHAMMED",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-095236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "9932210",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095236",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crest Hill, IL
- Absolute Medical Care LTD
- Accelerated Rehabilitation Centers, LTD
- Emely Nathalie Acevedo
- Achieve Beyond Inc
- Adil Pediatrics, Inc
- Advanced Counseling and Assessment Services Inc
- Advanced Family Dental & Orthodontics
- Advanced Family Dental & Orthodontics P C
- Advanced Family Dental, P.C.
- Advanced Physicians Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.