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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FAZAL MOHAMMAD M.D.
NPI 1043414097
Family Medicine in Glendale Heights, IL

Active since June 13, 2007PECOS Enrolled
27 DENNISON DR, GLENDALE HEIGHTS, IL 60139(630) 664-9273 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Fazal Mohammad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAZAL MOHAMMAD M.D. (NPI 1043414097) is an individual family medicine provider in Glendale Heights, Illinois, licensed in Michigan (4301090321) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043414097
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FAZAL MOHAMMADCredential: M.D.
Location Address27 DENNISON DRGlendale Heights, IL 60139-1876
Mailing Address27 Dennison DrGlendale Heights, IL 60139-1876 · (630) 664-9273
Phone(630) 664-9273
Sole ProprietorYes
Enumeration DateJune 13, 2007
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1043414097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301090321
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01068409A (IN)
27 DENNISON DR, Glendale Heights, IL 60139
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Other Identifiers 2

Medicaid200988900IN
Medicaid1043414097IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fazal Mohammad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Fazal Mohammad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Indiana Emergency Physicians, LLP
74 mi
Emergency Medicine
1007 LINCOLNWAY
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group
NPI 1144691478 (219) 326-1234
Northwest Hospitalist Physicians LLP
74 mi
Hospitalist
1007 LINCOLNWAY
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 75 clinicians in this Medicare group
NPI 1326415423 (219) 326-1234
Emergency Professionals Of Indiana, P.C.
160 mi
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
NPI 1013951219 (260) 435-2699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services68 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fazal Mohammad's NPI number?

The NPI number for Fazal Mohammad is 1043414097. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Fazal Mohammad located?

Fazal Mohammad practices at 27 Dennison Dr, Glendale Heights, IL 60139. The listed phone number is (630) 664-9273.

What is Fazal Mohammad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fazal Mohammad enrolled in Medicare?

Yes. Fazal Mohammad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fazal Mohammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fazal Mohammad reassigns Medicare benefits to 3 organizations: North Indiana Emergency Physicians, LLP (La Porte, IN), Northwest Hospitalist Physicians LLP (La Porte, IN) and Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fazal Mohammad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fazal Mohammad was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.