Muaz Nizar Assaf, MD
Individual provider Active NPI Internal Medicine Physician · Berwyn, IL
NPI 1497337802 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1497337802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036170605 (IL)
- Practice address
- 3231 Euclid Ave
Berwyn, IL 60402-3471 - Phone
- (708) 783-7017
- Fax
- (770) 878-3334
- NPI assigned
- Apr 25, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Practice addresses (Care Compare)
221 NE Glen Oak
Peoria, IL 61636-0001
Phone (309) 672-5522
221 NE Glen Oak Ave
Peoria, IL 61636-0001
600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 353-0825
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
- Carle Health Methodist Hospital
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 |
|---|---|---|---|---|
| I20240911004810 | IL | Practitioner - Internal Medicine | 1355744780 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Internal Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Internal Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current |
Accepting new patients |
Locations
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- massafmd434689@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036170605 | IL | Yes |
Addresses
Primary practice location
3231 Euclid Ave
Berwyn, IL 60402-3471
Mailing address
3231 Euclid Ave
Berwyn, IL 60402-3471
Phone (708) 783-7017
Other practice location 1
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9340
Other providers in Berwyn, IL
- Melissa Marie Arredondo
- Arze Doctors Center SC
- Ricardo Arze
- Obadah Asbahi
- Udochukwu O Asonye
- Rami Assaf
- Associates in Behavioral Science, LTD.
- Athletico, LTD
- Nancy Atobrah
- Joel Augustin
All providers in Berwyn, 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, 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.