Modern Pain Management SC
NPI 1043161060ActiveOrganization· Anesthesiology, Pain Medicine· Libertyville, IL
Anesthesiology, Pain Medicine in Libertyville, Illinois, registered in NPPES in February 2026. The authorized official on file is Mariam Mahdi El-Baghdadi, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043161060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2026 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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