DR. FADY MOHAMMED MOUSA-IBRAHIM DO
NPI 1952807711
Psychiatry & Neurology - Neurocritical Care in Maywood, IL

NPI Status: Active since April 02, 2018

Contact Information

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-2687
Fax: (708) 216-5617

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  • Individual
  • Male
  • Years of Experience 8
  • Psychiatry & Neurology
  • Neurocritical Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About FADY MOUSA-IBRAHIM

This page provides the complete NPI Profile along with additional information for Fady Mousa-ibrahim, a provider established in Maywood, Illinois with a medical specialization in Psychiatry & Neurology, focusing in neurocritical care and more than 8 years of experience. He graduated from Lincoln Memorial University Medical Department in 2018. The healthcare provider is registered in the NPI registry with number 1952807711 assigned on April 2018. The practitioner's primary taxonomy code is 2084A2900X with license number 036159688 (IL). The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1952807711
Provider Name
DR. FADY MOHAMMED MOUSA-IBRAHIM DO
Gender
Male
Entity Type
Individual
Location Address
2160 S 1ST AVE MAYWOOD, IL 60153
Location Phone
(708) 216-2687
Location Fax
(708) 216-5617
Mailing Address
4201 W MEDICAL CENTER DR MCHENRY, IL 60050
Mailing Phone
(815) 759-4530
Mailing Fax
(708) 216-5617
Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
04-02-2018
Last Update Date
05-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurocritical Care

Taxonomy Code
2084A2900X
Type
Allopathic & Osteopathic Physicians
License No.
036159688
License State
IL
Taxonomy Description
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Fady Mousa-ibrahim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Fady Mousa-ibrahim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446509012

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240717000106

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Fady Mousa-ibrahim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHN H STROGER JR HOSPITAL1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6000Acute Care Hospitals

Reviews for DR. FADY MOHAMMED MOUSA-IBRAHIM DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952807711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021601472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 4 + 7 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1952807711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174525489DR. MICHAEL JM RAFFIN PH.D.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1992700033MS. SONYA RESCHLY M.S.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1417954868 YING SUN M.S.
Individual
Specialist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1720085103MRS. KATHLEEN E. SCHORE M.S., CCC-A
Individual
Specialist2160 S 1ST AVE LUMC/AUDIOLOGY
MAYWOOD, IL 60153
(708) 206-3821
1437151974 KEVIN J EMBACH M.D.
Individual
Internal Medicine2160 S 1ST AVE LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
(708) 216-8757
1386621647 J PAUL OKEEFE MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
(708) 354-9250
1184601452 STUART BRIAN JOHNSON MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-3232
1346227295 KAMIL MUZAFFAR MD
Individual
Otolaryngology2160 S 1ST AVE (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
(708) 233-5333
1952388803 CHINYERE ANEZIOKORO MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1861479719 ROBERT HENKIN MD
Individual
Radiology (Nuclear Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1306823208 DAVID HECHT MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE LUH - NORTH ENT. , RM.7604
MAYWOOD, IL 60153
(708) 216-3232
1699752568 SAM MARZO MD
Individual
Otolaryngology (Otology & Neurotology)2160 S 1ST AVE MAGUIRE CENTER 1870
MAYWOOD, IL 60153
(708) 216-9183
1215914189 CARYL SALOMON MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1124005004 VIKRAM C PRABHU MD
Individual
Neurological Surgery2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900)
MAYWOOD, IL 60153
(708) 216-8563
1033196910 CHRISTINE DUDIAK MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1649257510 WILLIAM GREENLEE MD
Individual
Radiology (Neuroradiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1619954583 KENNETH CRAIG MICETICH MD
Individual
Internal Medicine (Hematology & Oncology)2160 S 1ST AVE (15750 MARION DR., HOMER GLEN, IL. 60491)
MAYWOOD, IL 60153
(708) 645-3400
1528045499 LAWRENCE CAMRAS MD
Individual
Radiology (Neuroradiology)2160 S 1ST AVE (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
(708) 216-5221
1215915772MRS. MONICA LEONA BARTH M.S., C.G.C.
Individual
Genetic Counselor, MS2160 S 1ST AVE RM 1024, BLDG 103, OB/GYNE, LOYOLA UNIV MED CENTER
MAYWOOD, IL 60153
(708) 216-0576
1316926140 JAMES SWAN MD
Individual
Dermatology2160 S 1ST AVE (321 LAGRANGE RD., LAGRANDE PARK, IL.60526)
MAYWOOD, IL 60153
(708) 485-1020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952807711, enumerated in the NPI registry as an "individual" on April 02, 2018

The provider is located at 2160 S 1st Ave Maywood, Il 60153 and the phone number is (708) 216-2687

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084A2900X with a focus in Neurocritical Care

The provider has more than 8 years of experience. He graduated from Lincoln Memorial University Medical Department in 2018.

The provider might be accepting Accepts: Cigna Healthcare and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): JOHN H STROGER JR HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 02, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.