Individual provider Active NPI

Saleh Hajjo-Rifai, MD

  • Anesthesiology Physician
  • Oswego, IL
National Provider Identifier
1992847388
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036087128 Issued in IL
Practice address
2677 Route 34
Suite C
Oswego, IL 60543-8633
Phone
(630) 551-2222
Fax
(630) 551-1510
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036087128 IL Primary

Addresses

Primary practice location

2677 Route 34
Suite C
Oswego, IL 60543-8633

Mailing address

2677 Route 34
Suite C
Oswego, IL 60543-8633
Phone (630) 551-2222

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
I20050316000479 IL Practitioner - AnesthesiologyPractitioner - Pain Management 1254386816 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Anesthesiologists LTDGroup PAC ID 0547165524, 26 clinicians

Practice addresses (Care Compare)

17800 S Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 799-8000

2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-2000

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesiologists, LTD. Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Oak Brook Anesthesiologists, LTD. Anesthesiology CurrentSince Jan 1, 2012 Accepting new patients
Chicago Anesthesiology Pain Specialists LLC CurrentSince Jan 1, 2008 Accepting new patients
Salem Pain Associates, LLC Anesthesiology Past Accepting new patients

Locations

3407 Momentum Pl
Chicago, IL 60689

3000 N Halsted St
Ste 601
Chicago, IL 60657
Phone (773) 296-7937

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

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 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1992847388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 ROUTE 34",
            "address_2": "SUITE C",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438633",
            "telephone_number": "630-551-2222",
            "fax_number": "630-551-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 ROUTE 34",
            "address_2": "SUITE C",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438633",
            "telephone_number": "630-551-2222",
            "fax_number": "630-551-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJO-RIFAI",
        "first_name": "SALEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036087128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.