Mani Mahdavian, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036095201 Issued in IL

Practice address

150 N River Rd Ste 210
Des Plaines, IL 60016-1272

Phone

(847) 290-3800

Fax

(847) 290-0889

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midtown Gastroenterology and Liver Disease LLCGroup PAC ID 7214463041, 4 clinicians

City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100
• Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mani.mahdavian.1@32121.direct.athenahealth.com
• Direct secure messaging: mmahdavian145246@cityofhope.direct-ci.com

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.

• Midtown Gastroenterology and Liver Disease LLC

  • Gastroenterology Physician
  • Des Plaines, IL
  • NPI 1326871658
  Medicare reassignment Care Compare group NPD Authorized official
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689
  Medicare reassignment Care Compare group
• Lakeshore Gastroenterology and Liver Disease Institute S.C.

  • Gastroenterology Physician
  • Oak Park, IL
  • NPI 1528237765
  Medicare reassignment NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064
  Medicare reassignment NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1295757771
  NPD
• West Suburban Gastroenterology S C

  • Gastroenterology Physician
  • Oak Park, IL
  • NPI 1487724852
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Park Ridge, IL
  • NPI 1164539730
  Care Compare affiliation
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Holy Family Medical Center - Des Plaines LLC

  • Long Term Care Hospital
  • Des Plaines, IL
  • NPI 1205674611

  Long-term care hospital

  Care Compare affiliation
• Midwestern Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Zion, IL
  • NPI 1811984388
  Care Compare affiliation
• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1992873624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-290-3800",
            "fax_number": "847-290-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-290-3800",
            "fax_number": "847-290-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVIAN",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036095201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "100016030",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Macnab
• Elvina Marshal Macwan
• Jini Xavier Madathil, NP
• Jason H Madia, PHARMD
• Maggie Dix Therapy, PLLC
• Maine Ridge Medical Associates
• Maine West School Based Health Center
• Mak Global Care LLC
• Mansour Vincent Makhlouf, MD
• Veronica Makos

• Gastroenterology Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.