Individual provider Active NPI

Mohammed Murtaza Arain, M.D.

  • Specialist
  • Bolingbrook, IL
National Provider Identifier
1992781108
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-046816 Issued in IL
Practice address
730 S Weber Rd
Unit G
Bolingbrook, IL 60490-5472
Phone
(630) 759-8700
Fax
(630) 759-8701
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-046816 IL Primary

Addresses

Primary practice location

730 S Weber Rd
Unit G
Bolingbrook, IL 60490-5472

Mailing address

730 S Weber Rd
Unit G
Bolingbrook, IL 60490-5472
Phone (630) 759-8700

Other identifiers 4

IdentifierTypeStateIssuer
22910261OtherILRAILROAD MEDICARE
036046816MedicaidIL
10572353OtherILCAQH
QXIPQ0000069212OtherILAETNA BETTER HEALTH

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
I20040709001345 IL Practitioner - General Surgery 4880581503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

730 S Weber Rd
Unit G
Bolingbrook, IL 60490-5472

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-046816ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
M&S Arain M D S & S C CurrentSince Jan 2, 2000 Accepting new patients
Neurospinal Center Past Accepting new patients
Datta Sambare M D S C Past Accepting new patients

Locations

730 S Weber Rd
Unit G
Bolingbrook, IL 60490
Phone (630) 378-2000

4121 Fairview Ave
Ste 102
Downers Grove, IL 60515
Phone (630) 968-2700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992781108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S WEBER RD",
            "address_2": "UNIT G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905472",
            "telephone_number": "630-759-8700",
            "fax_number": "630-759-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WEBER RD",
            "address_2": "UNIT G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905472",
            "telephone_number": "630-759-8700",
            "fax_number": "630-759-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAIN",
        "first_name": "MOHAMMED",
        "middle_name": "MURTAZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-046816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "22910261",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046816",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10572353",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "QXIPQ0000069212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.