Marwan M. Abdulsattar, MD
Individual provider Active NPI Anesthesiology Physician · Janesville, WI
NPI 1265790695 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265790695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 67270-20 (WI)
- Practice address
- 1000 Mineral Point Ave
Janesville, WI 53548-2940 - Phone
- (608) 756-6731
- Fax
- (608) 756-6013
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Rockford Health Physicians
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Hospital & facility affiliations
- Mercy Health System Corp
- Javon Bea Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, 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 |
|---|---|---|---|---|
| I20170725001280 | WI | Practitioner - Anesthesiology | 9638468531 | Reassigns benefits to 2 organizations |
| I20201223001790 | IL | Practitioner - Anesthesiology | 9638468531 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67270-20 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current |
Accepting new patients |
| Mercy Harvard Hospital Inc | Current |
Accepting new patients | |
| Associated Anesthesiologists, SC | Anesthesiology | Current |
Accepting new patients |
| Windy City Anesthesia PC | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Windy City Anesthesia PC | Anesthesiology | Current |
Accepting new patients |
| Associated Anesthesiologists, S.C. | Anesthesiology | Current |
Accepting new patients |
| Mercy Harvard Hospital Inc | Current |
Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- mabdulsattar44044@direct.mhemail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 67270-20 | WI | Yes |
Addresses
Primary practice location
1000 Mineral Point Ave
Janesville, WI 53548-2940
Mailing address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6731
Other providers in Janesville, WI
- A Life Worth Living Counseling Service LLC
- Aabe Afh LLC
- Taylor M Aagaard
- Wendy S Abel
- Guillermo Manuel Aceves Jr.
- Acs Clinical Services LLC
- Sabrina Adams
- Audrey Marian Addaquay-Corey
All providers in Janesville, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.