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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 390200000X | Student, 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 HOSPITAL | 1901 W HARRISON ST CHICAGO, IL 60612 | (312) 864-6000 | Acute 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. | |||||||||
1 | 9 | 5 | 2 | 8 | 0 | 7 | 7 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 10 | 2 | 16 | 0 | 14 | 7 | 2 | |
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 = 1 | 1 |
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 |
---|---|---|---|
1174525489 | DR. MICHAEL JM RAFFIN PH.D. Individual | Audiologist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
1992700033 | MS. SONYA RESCHLY M.S. Individual | Audiologist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
1417954868 | YING SUN M.S. Individual | Specialist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
1720085103 | MRS. KATHLEEN E. SCHORE M.S., CCC-A Individual | Specialist | 2160 S 1ST AVE LUMC/AUDIOLOGY MAYWOOD, IL 60153 (708) 206-3821 |
1437151974 | KEVIN J EMBACH M.D. Individual | Internal Medicine | 2160 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 | Otolaryngology | 2160 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 Surgery | 2160 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 |
1215915772 | MRS. MONICA LEONA BARTH M.S., C.G.C. Individual | Genetic Counselor, MS | 2160 S 1ST AVE RM 1024, BLDG 103, OB/GYNE, LOYOLA UNIV MED CENTER MAYWOOD, IL 60153 (708) 216-0576 |
1316926140 | JAMES SWAN MD Individual | Dermatology | 2160 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].
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