Individual provider Active NPI

Maan Barhoum, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Libertyville, IL
National Provider Identifier
1114993979
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036115914 Issued in IL
Practice address
755 S Milwaukee Ave
Suite 186
Libertyville, IL 60048-2905
Phone
(847) 573-9455
Fax
(847) 573-9456
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036115914 IL Primary

Addresses

Primary practice location

755 S Milwaukee Ave
Suite 186
Libertyville, IL 60048-2905

Mailing address

755 S Milwaukee Ave
Suite 186
Libertyville, IL 60048-2905
Phone (847) 573-9455

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
I20061013000467 IL Practitioner - Endocrinology 4284630245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

755 S Milwaukee Ave
Suite 186
Libertyville, IL 60048-3267
Phone (847) 573-9455

Hospital & facility affiliations

  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
33.03 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
74.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Aug 1, 2015 Accepting new patients
Advanced Diabetes & Endocrince Center, P.C. CurrentSince Oct 1, 2006 Accepting new patients
Union County Medical Center Inc Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

755 S Milwaukee Ave
Ste 186
Libertyville, IL 60048
Phone (847) 573-9455

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1114993979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 186",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482905",
            "telephone_number": "847-573-9455",
            "fax_number": "847-573-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 186",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482905",
            "telephone_number": "847-573-9455",
            "fax_number": "847-573-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHOUM",
        "first_name": "MAAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036115914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.