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DR. MANAR MOHAMMAD
NPI 1053990416
Pediatrics in Kenosha, WI

Active since April 05, 2021PECOS Enrolled
8600 75TH ST STE 101, KENOSHA, WI 53142(262) 652-9430(262) 652-9433 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Dec 8, 2025, Dec 12, 2024 and 3 more (6 updates tracked since 2021).

About Dr. Manar Mohammad NPPES

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

DR. MANAR MOHAMMAD (NPI 1053990416) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Illinois (036170363) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053990416
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MANAR MOHAMMAD
Location Address8600 75TH ST STE 101Kenosha, WI 53142-8200
Mailing Address8600 75th St Ste 101Kenosha, WI 53142-8200 · (262) 652-9430 · Fax (262) 652-9433
Phone(262) 652-9430
Fax(262) 652-9433
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateJanuary 28, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1053990416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036170363✔ Licensed in WI · 84792-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8600 75TH ST STE 101, Kenosha, WI 53142
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Other Identifiers 1

Medicaid100298059WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Manar Mohammad 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 Reassignment

Medicare enrollment records show Manar Mohammad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
37 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN MARONEY JOHNSON M.D.
Pediatrics
8600 75TH ST STE 101
KENOSHA, WI 53142
Kenosha County (262) 652-9430
SADIA HUSSAIN DO
Pediatrics
8600 75TH ST STE 101
KENOSHA, WI 53142
Kenosha County (262) 652-9430

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 Manar Mohammad's NPI number?

The NPI number for Manar Mohammad is 1053990416. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Manar Mohammad located?

Manar Mohammad practices at 8600 75th St Ste 101, Kenosha, WI 53142. The listed phone number is (262) 652-9430.

What is Manar Mohammad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Manar Mohammad enrolled in Medicare?

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

Which organization bills Medicare for Manar Mohammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manar Mohammad reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Manar Mohammad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manar Mohammad accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Manar Mohammad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manar Mohammad was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.