Yasmin Abaza, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Chicago, IL
NPI 1033548383 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1033548383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 036153305 (IL)
- Practice address
- 675 N Saint Clair St Ste 21-100
Chicago, IL 60611-5970 - Phone
- (312) 695-0990
- Fax
- (312) 695-1106
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
675 N St Clair
100 Cancer Care Center
Chicago, IL 60611-5970
Phone (312) 695-0990
Hospital & facility affiliations
- Accentcare Home Health of Illinois
- Northwestern Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824003423 | IL | Practitioner - Hematology/Oncology |
8426288184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
675 N Saint Clair St
Ste 21-100
Chicago, IL 60611
Phone (312) 908-5284
675 N Saint Clair St
Ste 21100
Chicago, IL 60611
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036153305 | IL | Yes |
Addresses
Primary practice location
675 N Saint Clair St Ste 21-100
Chicago, IL 60611-5970
Mailing address
675 N Saint Clair St Ste 21-100
Chicago, IL 60611-5970
Phone (312) 695-0990
Other practice location 1
2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603
Phone (407) 506-6554
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.