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NAPERVILLE REHAB AND MEDICAL CLINIC PC
NPI 1053806406
Physical Medicine & Rehabilitation - Pain Medicine in Naperville, IL

Active since June 28, 2018
1750 N WASHINGTON ST STE 112C, NAPERVILLE, IL 60563(630) 961-1888(773) 337-9106 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2023, Jun 28, 2018 (2 updates tracked since 2018).

About Naperville Rehab And Medical Clinic Pc NPPES

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

NAPERVILLE REHAB AND MEDICAL CLINIC PC (NPI 1053806406) is a healthcare organization registered as a pain medicine in Naperville, Illinois and active in the NPI registry since June 2018. The organization lists Kambiz Maghsoudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1053806406
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameNAPERVILLE REHAB AND MEDICAL CLINIC PC
Location Address1750 N WASHINGTON ST STE 112CNaperville, IL 60563-4850
Mailing Address1750 N Washington St Ste 112cNaperville, IL 60563-4850 · (630) 961-1888 · Fax (773) 337-9106
Phone(630) 961-1888
Fax(773) 337-9106
Organization SubpartNo
Authorized OfficialKambiz MaghsoudiOwner · (630) 961-1888
Enumeration DateJune 28, 2018
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1053806406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in IL · 036081581
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1750 N WASHINGTON ST STE 112C, Naperville, IL 60563
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naperville Rehab And Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Naperville Rehab And Medical Clinic PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Karen Snyder, PT
Physical Therapist in Private Practice
NPI 1285006148
3600 THAYER CT
Aurora, IL 60504
(630) 870-4735
✔ Accepts Medicare6.2 mi
Payal Dave, PT
Physical Therapist in Private Practice
NPI 1801329693
2872 US HIGHWAY 34
Oswego, IL 60543
(630) 554-8890
✔ Accepts Medicare12 mi
John Ohara, MD
Pain Management
NPI 1811056559
810 S MCLEAN BLVD
Elgin, IL 60123
(847) 632-9919
✔ PECOS17 mi
Rutvi Shah
Physical Therapist in Private Practice
NPI 1194072983
2233 W DIVISION ST PHYSICAL THERAPY DEPARTMENT
Chicago, IL 60622
(312) 770-2000
✔ Accepts Medicare25 mi
Melanie Bonanno, APN
Nurse Practitioner
NPI 1932625936
2400 BELVIDERE RD
Waukegan, IL 60085
(847) 377-8800
✔ PECOS41 mi

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

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 Naperville Rehab And Medical Clinic PC's NPI number?

The NPI number for Naperville Rehab And Medical Clinic PC is 1053806406. It was assigned to this organization in the NPPES registry on June 28, 2018.

Where is Naperville Rehab And Medical Clinic PC located?

Naperville Rehab And Medical Clinic PC is located at 1750 N Washington St Ste 112C, Naperville, IL 60563. The listed phone number is (630) 961-1888.

What is Naperville Rehab And Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Naperville Rehab And Medical Clinic PC enrolled in Medicare?

Yes. Naperville Rehab And Medical Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Naperville Rehab And Medical Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Naperville Rehab And Medical Clinic PC. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (3), Nurse Practitioner (1) and Pain Management (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Naperville Rehab And Medical Clinic PC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.