Momen Abbasi, M.D.
Individual provider Active NPI Nephrology Physician · Chicago, IL
NPI 1184472268 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1184472268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 125.083087 (IL)
- Practice address
- 820 S. Wood Street
University of Illinois Chicago Division of Nephrology M
Chicago, IL 60612 - Phone
- (312) 996-6736
- Fax
- (312) 996-7378
- NPI assigned
- May 13, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7732 Solution Ctr
Chicago, IL 60677
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 |
|---|---|---|---|---|
| I20240820002751 | IL | Order and Referring Only - Nephrology |
8527506674 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mabbasi172071@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 125.083087 | IL | Yes |
Addresses
Primary practice location
820 S. Wood Street
University of Illinois Chicago Division of Nephrology M
Chicago, IL 60612
Mailing address
820 S. Wood Street
University of Illinois Chicago Division of Nephrology M
Chicago, IL 60612
Phone (312) 996-6736
Other providers in Chicago, IL
- Anum Abbasi
- Ayesha Abbasi
- Billal Abbasi
- Henna Abbasi
- Misha Abbasi
- Samin Abbasi
- Suliman Abbasi
- Salman Abbasifard
- Mohammad Ali Abbass
- Kamran Abbassian
All providers in Chicago, IL · Nephrology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. 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.