NPIMap

Individual provider Active NPI

Ghanem Abusbeih, MD

  • Emergency Medicine Physician
  • Marion, IL
National Provider Identifier
1528026705
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36104784 Issued in IL
Practice address
3333 W Deyoung St
Marion, IL 62959-5884
Phone
(618) 998-7000
NPI assigned
May 4, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36104784 IL Primary
Emergency Medicine Physician 207P00000X 036104784 IL

Addresses

Primary practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 5

IdentifierTypeStateIssuer
036104784OtherILBLUE SHIELD
036104784-2MedicaidIL
3932056OtherILBLUE SHIELD
036104784-6MedicaidIL
036104784-5MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170816004156 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 5991750150 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sikeston Emergency Group LLCGroup PAC ID 6305112814, 19 clinicians
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians
Ripley Emergency Group LLCGroup PAC ID 1254757446, 35 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.12 of 100Reported as group
Quality
2.83
Improvement activities
40
Cost
82.51

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
65.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36104784ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Oct 15, 2025 Accepting new patients
Sikeston Emergency Group LLC Emergency Medicine CurrentSince Apr 2, 2023 Accepting new patients
Texas County Memorial Hospital CurrentSince May 15, 2021 Accepting new patients
Ripley Emergency Group, LLC Emergency Medicine CurrentSince Dec 17, 2025 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince May 15, 2021 Accepting new patients
Missouri HB Medical Services, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Butler Physician Services, LLC CurrentSince Dec 31, 2022 Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Sterling Emergency Physicians of Illinois, S.C Emergency Medicine Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
New Century Physicians of Southern Illinois Inc Emergency Medicine Past Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 11

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 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1528026705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-998-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSBEIH",
        "first_name": "GHANEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36104784",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036104784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "036104784",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104784-2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "3932056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104784-6",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104784-5",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.