Individual provider Active NPI

Marwan Alkassis

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1083496525
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
125083060 Issued in IL
Practice address
1130 S Michigan Ave Apt 3414
Chicago, IL 60605-2323
Phone
(872) 335-8585
NPI assigned
Oct 18, 2023
Last updated
Jul 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125083060 IL Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 125083060 IL

Addresses

Primary practice location

1130 S Michigan Ave Apt 3414
Chicago, IL 60605-2323

Mailing address

4 Allee Des Feuillantines
Batiment B Chez Jad Alkassis
Villejuif, ILE DE FRANCE 94800
FR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031003332 IL Order and Referring Only - UrologyPractitioner - Urology 7113373838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: malkassis188969@uihealth.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1083496525",
    "addresses": [
        {
            "country_code": "FR",
            "country_name": "France",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4 ALLEE DES FEUILLANTINES",
            "address_2": "BATIMENT B CHEZ JAD ALKASSIS",
            "city": "VILLEJUIF",
            "state": "ILE DE FRANCE",
            "postal_code": "94800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE APT 3414",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052323",
            "telephone_number": "872-335-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKASSIS",
        "first_name": "MARWAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125083060",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "125083060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.