Active NPI
Osamah Abdallah, M.D.
- Internal Medicine Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-140482
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-6497
- NPI assigned
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036-140482 | IL | |
| Internal Medicine Physician | 207R00000X | 036-140482 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-6497
Other practice location 1
4440 W 95th St Ste 1128M
Oak Lawn, IL 60453-2600
Phone (312) 609-0300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oabdallah217654@myadvocateaurora.org | ||
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ADVOCATE AURORA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
4440 W 95TH St
Oak Lawn, IL 60453-2600
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-140482 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| 24 On Physician Partners, PC | Hospitalist | Current | Accepting new patients |
Locations
318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
4440 W 95th St
Ste 1128M
Oak Lawn, IL 60453
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
Interoperability endpoints
- oabdallah217654@direct.myadvocateaurora.org
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Hospitalist Physician
- Hobart, IN
- NPI 1013497106
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1275976144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-6497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-6497"
}
],
"practiceLocations": [
{
"address_1": "4440 W 95th St Ste 1128M",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "312-609-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDALLAH",
"first_name": "OSAMAH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-140482",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-140482",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oabdallah217654@myadvocateaurora.org",
"affiliation": "N",
"address_1": "4440 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "ADVOCATE AURORA HEALTHCARE",
"address_1": "4440 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.