Individual provider Active NPI

Mohammad El-Rifai, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Olympia Fields, IL
National Provider Identifier
1992112973
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036167987 Issued in IL
Practice address
3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182
Phone
(708) 679-2130
Fax
(708) 679-2260
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11592A WY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME155920 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036167987 IL Primary

Addresses

Primary practice location

3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

16011 Tampa Palms Blvd W
Tampa, FL 33647-2001
Phone (813) 844-8100

Other practice location 2

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-1385

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melrifai246564@direct.tgh.org Health Information Exchange (HIE)

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
I20240325001908 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 7012268576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians

Practice addresses (Care Compare)

3700 W 203Rd St
Suite 310
Olympia Fields, IL 60461-1182
Phone (708) 679-2130

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 21, 2024 Accepting new patients
Cheyenne Regional Physicians Group, LLC CurrentSince Aug 20, 2018 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3700 W 203rd St
Ste 310
Olympia Flds, IL 60461
Phone (708) 679-2066

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

800 E 20th St
Ste 230
Cheyenne, WY 82001
Phone (307) 996-4770

800 E 20th St
Ste 350
Cheyenne, WY 82001
Phone (307) 637-7700

Interoperability endpoints

  • Direct secure messaging: melrifai246564@direct.tgh.org
  • Direct secure messaging: melrifai33622@direct.crmcwy.org

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.

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1992112973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST STE 310",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-679-2130",
            "fax_number": "708-679-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16011 Tampa Palms Blvd W",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472001",
            "country_code": "US",
            "telephone_number": "813-844-8100",
            "fax_number": "813-844-1106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 W Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093305",
            "country_code": "US",
            "telephone_number": "813-844-1385",
            "fax_number": "813-254-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-RIFAI",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WY",
            "license": "11592A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME155920",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036167987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melrifai246564@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "16011 Tampa Palms Blvd W",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336472001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.