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MIINEDOCTOR, INC.
NPI 1144795279
Internal Medicine in Crestwood, IL

Active since October 04, 2018
13755 CICERO AVE, CRESTWOOD, IL 60418(708) 972-7642(708) 925-9179 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Jan 22, 2021, Oct 4, 2018 (3 updates tracked since 2018).

About Miinedoctor, Inc. NPPES

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

MIINEDOCTOR, INC. (NPI 1144795279) is a healthcare organization registered as an internal medicine in Crestwood, Illinois and active in the NPI registry since October 2018. The organization lists Ashley Rock, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1144795279
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIINEDOCTOR, INC.
Location Address13755 CICERO AVECrestwood, IL 60418-1824
Mailing Address13755 Cicero AveCrestwood, IL 60418-1824 · (708) 972-7636
Phone(708) 972-7642
Fax(708) 925-9179
Organization SubpartNo
Authorized OfficialAshley RockDirector Of Clinical Operations · (708) 972-7636
Enumeration DateOctober 4, 2018
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1144795279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13755 CICERO AVE, Crestwood, IL 60418
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Miinedoctor, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Miinedoctor, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Internal Medicine6
Nurse Practitioner3
Hospitalist1

Clinicians, nearest first (10)

Zafar Ahmed, MD
Internal Medicine
NPI 1700872272
13755 CICERO AVE
Crestwood, IL 60445
(708) 385-2400
✔ PECOS✔ Accepts MedicareSame address
Kristine Asuncion, NP
Nurse Practitioner
NPI 1306332697
13755 CICERO AVE
Crestwood, IL 60418
(708) 385-2400
✔ PECOS✔ Accepts MedicareSame address
Luciano Fochesatto Filho, M.D.
Internal Medicine
NPI 1356591549
13755 CICERO AVE
Crestwood, IL 60418
(708) 385-2400
✔ PECOS✔ Accepts MedicareSame address
Daniel Desimone, MD
Internal Medicine
NPI 1447246822
13755 CICERO AVE
Crestwood, IL 60418
(708) 972-7642
✔ PECOS✔ Accepts MedicareSame address
Christopher Gloude, FNP
Nurse Practitioner
NPI 1992286868
17047 S LAGRANGE RD
Orland Park, IL 60487
(815) 300-7764
✔ PECOS✔ Accepts Medicare8.3 mi
John Ibrahim, M.D
Hospitalist
NPI 1134675218
11S513 RACHAEL CT
Willowbrook, IL 60527
(331) 214-1843
✔ PECOS✔ Accepts Medicare12 mi
Maged Saad, MD
Internal Medicine
NPI 1154634145
201 E OGDEN AVE STE 50
Hinsdale, IL 60521
(630) 400-4194
✔ PECOS✔ Accepts Medicare15 mi
Jacqueline Marchbank, APN
Nurse Practitioner
NPI 1750767604
911 N ELM ST STE 102
Hinsdale, IL 60521
(630) 495-9356
✔ PECOS16 mi
Earl Rudolph, D.O.
Internal Medicine
NPI 1487851481
3333 W DEYOUNG ST
Marion, IL 62959
(618) 998-7017
✔ PECOS✔ Accepts Medicare277 mi
Muhammad Abushaer, MD
Internal Medicine
NPI 1942258983
100 HOSPITAL ST
Booneville, MS 38829
(800) 291-4020
✔ PECOS✔ Accepts Medicare484 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 Miinedoctor, Inc.'s NPI number?

The NPI number for Miinedoctor, Inc. is 1144795279. It was assigned to this organization in the NPPES registry on October 4, 2018.

Where is Miinedoctor, Inc. located?

Miinedoctor, Inc. is located at 13755 Cicero Ave, Crestwood, IL 60418. The listed phone number is (708) 972-7642.

What is Miinedoctor, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Miinedoctor, Inc. enrolled in Medicare?

Yes. Miinedoctor, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miinedoctor, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Miinedoctor, Inc.. 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 Internal Medicine (6), Nurse Practitioner (3) and Hospitalist (1). Of these, 4 practice at this address and 5 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 Miinedoctor, Inc. was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.