Ghanem Abusbeih, MD
Individual provider Active NPI Emergency Medicine Physician · Marion, IL
NPI 1528026705 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1528026705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 36104784 (IL)
- Practice address
- 3333 W Deyoung St
Marion, IL 62959-5884 - Phone
- (618) 998-7000
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sikeston Emergency Group LLC
Missouri HB Medical Services LLC
Ripley Emergency Group LLC
Camden Emergency Group LLC
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
- Poplar Bluff Regional Medical Center
- Northeast Regional Medical Center
- Lake Regional Health System
- Missouri Delta Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.12 of 100
- Quality
- 2.83
- Improvement activities
- 40
- Cost
- 82.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 65.2
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20170816004156 | MO | Practitioner - Emergency Medicine |
5991750150 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36104784 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas County Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| Camden Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Ripley Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Butler Physician Services, LLC | Current |
Accepting new patients | |
| Missouri HB Medical Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Sikeston Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Crossroads Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| New Century Physicians of Southern Illinois Inc | 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 |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36104784 | IL | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104784-5 | Medicaid | IL | |
| 036104784-2 | Medicaid | IL | |
| 3932056 | Other | IL | BLUE SHIELD |
| 036104784 | Other | IL | BLUE SHIELD |
| 036104784-6 | Medicaid | IL |
Other providers in Marion, IL
- 2020 Vision- Marion LLC
- Lynn Abed-Mahmoud
- Accuracy Urgent Care
- Accuracy Urgent Care
- Active Day in, Inc.
- Shawna Kay Adams
- Addus Healthcare, Inc.
All providers in Marion, IL · Emergency 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 Feb 10, 2009. 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.