DR. ALISHA BOUZAHER MD
NPI 1942763602
Pediatrics - Pediatric Critical Care Medicine in Chicago, IL

Q: What is Alisha Bouzaher's NPI number?

The NPI number for Alisha Bouzaher is 1942763602. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Alisha Bouzaher's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Alisha Bouzaher was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 10, 2019PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Alisha Bouzaher Md NPPES

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

DR. ALISHA BOUZAHER MD (NPI 1942763602) is an individual pediatric critical care medicine provider in Chicago, Illinois, licensed in Illinois (036160050) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2019).

NPPES Registry Identity

NPI1942763602

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ALISHA BOUZAHERCredential: MD

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965

Phone(888) 824-0200

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateOctober 19, 2025

NPPES CertifiedOctober 19, 2025

✔ NPI 1942763602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036160050

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5841 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alisha Bouzaher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799013330

PECOS Enrollment IDI20251029001554

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.

Other Providers at the Same Location NPPES 20

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

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