NPIMap

Individual provider Active NPI

Maha Abboud, MD FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Melrose Park, IL
National Provider Identifier
1346208956
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036086473 Issued in IL
Practice address
1835 N 19TH Ave
Suite 206
Melrose Park, IL 60160-2040
Phone
(708) 345-2211
Fax
(708) 345-2224
NPI assigned
May 3, 2006
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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 036086473 IL Primary

Addresses

Primary practice location

1835 N 19TH Ave
Suite 206
Melrose Park, IL 60160-2040

Mailing address

PO Box 1053
Maywood, IL 60153
Phone (708) 345-2211

Other identifiers 1

IdentifierTypeStateIssuer
036086473MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000055 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 8022048800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Osteoporosis Obesity IncGroup PAC ID 8224068002, 2 clinicians

Practice addresses (Care Compare)

430 Village Ctr Dr
Burr Ridge, IL 60527-4513
Phone (630) 532-5821

9629 Southwest Hwy
Oak Lawn, IL 60453-2863
Phone (630) 532-5821

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086473ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Osteoporosis Obesity Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 15, 2005 Accepting new patients
VHS Westlake Hospital Inc. Past Accepting new patients

Locations

430 Village Center Dr
Burr Ridge, IL 60527
Phone (630) 325-4324

1835 N 19th Ave
Ste 206
Melrose Park, IL 60160
Phone (708) 345-2211

9629 Southwest Hwy
Oak Lawn, IL 60453
Phone (630) 532-5821

Organizations & group practices 2

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

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1346208956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-345-2211",
            "fax_number": "708-345-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-345-2211",
            "fax_number": "708-345-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "MAHA",
        "credential": "MD FACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036086473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086473",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.