Khalda Abbasi, MD
Individual provider Active NPI Internal Medicine Physician · Naperville, IL
NPI 1487705240 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487705240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Practice address
- 636 Raymond Dr
Suite 106
Naperville, IL 60563-9789 - Phone
- (630) 416-2300
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20120521000548 | IL | Practitioner - Internal Medicine | 7416110945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-067520 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Hospital Association | Current |
Accepting new patients | |
| Central Dupage Hospital Association | Current |
Accepting new patients | |
| Winfield Pathology Consultants, S.C. | Current | Accepting new patients |
Locations
636 Raymond Dr
Ste 106
Naperville, IL 60563
Phone (630) 416-2300
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Yes |
Addresses
Primary practice location
636 Raymond Dr
Suite 106
Naperville, IL 60563-9789
Mailing address
636 Raymond Drive
Suite 106
Naperville, IL 60563-9790
Phone (630) 416-2300
Other providers in Naperville, IL
- A Womans Place Inc
- Aanya Health Services PLLC
- Abacus Therapy Center LLC
- John P Abad
- Sarah Abbas
- Zehra Habib Abbasi
- Abc Pediatrics, LTD.
- Jalil Musa Abdallah
- Rana Ahmad Abdelrahim
- Tawfik Abdul Dayem
All providers in Naperville, IL · Internal Medicine 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 Jul 8, 2007. 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.