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SAMIRALY MOOSA MD
NPI 1699264622
Family Medicine in Chicago, IL

Active since May 04, 2018
1044 N. FRANCISCO AVENUE ATTN. GME OFFICE, CHICAGO, IL 60622(773) 360-6346(773) 292-5954 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2021, May 4, 2018 (2 updates tracked since 2018).

About Samiraly Moosa Md NPPES

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

SAMIRALY MOOSA MD (NPI 1699264622) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036153598) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1699264622
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMIRALY MOOSACredential: MD
Location Address1044 N. FRANCISCO AVENUE ATTN. GME OFFICEChicago, IL 60622
Mailing Address1044 N. Francisco Ave, Suite 100Chicago, IL 60622 · (773) 292-8200 · Fax (773) 278-3889
Phone(773) 360-6346
Fax(773) 292-5954
Sole ProprietorNo
Enumeration DateMay 4, 2018
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1699264622 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 IL · 036153598
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1044 N. FRANCISCO AVENUE ATTN. GME OFFICE, Chicago, IL 60622
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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 Samiraly Moosa's NPI number?

The NPI number for Samiraly Moosa is 1699264622. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Samiraly Moosa located?

Samiraly Moosa practices at 1044 N. Francisco Avenue Attn. Gme Office, Chicago, IL 60622. The listed phone number is (773) 360-6346.

What is Samiraly Moosa's specialty?

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

When was this NPI record last updated?

The NPPES record for Samiraly Moosa was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.