MOHAMMAD AL-KHUDARI (MD) – Ophthalmology Physician, NPI 1902891948

MOHAMMAD AL-KHUDARI (MD) is a healthcare provider. based in Oak lawn, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036103747 (IL). The NPI Number for MOHAMMAD AL-KHUDARI (MD) is 1902891948

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD AL-KHUDARI (MD)
NPI
1902891948
Phone
(708) 636-9393
Address
6201 W 95TH ST
Enumeration Date
15 September 2005
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086369393
Graduation Year
1991 (35 years ago)
PAC ID
1153389036
Group Practice PAC ID
5799743670
Professional Enrollment ID
I20041222000850
Address ID
IL604532701OA6201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

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Provider Addresses for MOHAMMAD AL-KHUDARI (MD)

  • 6201, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532701

    Phone: (708) 636-9393

    Fax: (708) 636-2022

    Type: Mailing

  • 14494 John Humphrey Dr

    Orland Park, IL 604622638

    Phone: (708) 226-9393

    Fax: (708) 403-5751

    Type: Location

  • 68 W Dundee Rd

    Buffalo Grove, IL 600893758

    Phone: (847) 541-3334

    Fax: (847) 541-8442

    Type: Location

  • 4459 N Kedzie Ave

    Chicago, IL 606254785

    Phone: (773) 866-2020

    Fax: (773) 866-2022

    Type: Location

  • 17W682 Butterfield Rd

    Oakbrook Terrace, IL 601814029

    Phone: (708) 636-9393

    Fax: (708) 636-2022

    Type: Location

  • 1760 W Wise Rd

    Schaumburg, IL 601933524

    Phone: (708) 636-9393

    Fax: (708) 636-2022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $32,235.

Total Amount is formed as General ($29,535) + Research ($2,700) + Ownership ($0) = $32,235.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: RxSight Inc ($27,079).

Total Amount

$32,235

General + Research + Ownership

Payments

89

Total payment records

General Amount

$29,535

General payments

Research Amount

$2,700

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041222000850IOphthalmologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina338281$0
92014Established patient complete exam of visual system329222$0
92004New patient complete exam of visual system115115$0
92136Measurement of corneal curvature and depth of eye7668$0
92012Established patient problem focused exam of visual system7566$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799743670View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I cross-check MOHAMMAD AL-KHUDARI (MD) using NPI 1902891948?
NPI 1902891948 belongs to MOHAMMAD AL-KHUDARI (MD); compare other details if you need extra assurance.
Active or inactive — what applies to MOHAMMAD AL-KHUDARI (MD)?
You should see MOHAMMAD AL-KHUDARI (MD) as active in CMS-hosted NPPES data.
What area of care is associated with MOHAMMAD AL-KHUDARI (MD)?
MOHAMMAD AL-KHUDARI (MD)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MOHAMMAD AL-KHUDARI (MD)?
Directory geography for MOHAMMAD AL-KHUDARI (MD) centers on Oak Lawn, Illinois.
Can I trust this NPI listing for MOHAMMAD AL-KHUDARI (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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