NPIMap

Individual provider Active NPI

Yaseen Alkaddoumi, M.D.

  • Hematology & Oncology Physician
  • Orland Park, IL
National Provider Identifier
1548668148
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036142341 Issued in IL
Practice address
15300 West Ave Ste 108
Orland Park, IL 60462-4685
Phone
(708) 226-2318
Fax
(708) 226-2319
NPI assigned
Dec 12, 2014
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125.066101 IL
Internal Medicine Physician 207R00000X 01085436A IN
Hematology & Oncology Physician 207RH0003X 01085436A IN
Hematology & Oncology Physician 207RH0003X 036142341 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 108
Orland Park, IL 60462-4685

Mailing address

15300 West Ave Ste 108
Orland Park, IL 60462-4685
Phone (708) 226-2318

Other practice location 1

2525 S Michigan Ave Fl 2
Chicago, IL 60616-2315
Phone (708) 897-4273

Other practice location 2

85 E US Highway 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

Other practice location 3

85 E US Highway 6 Ste 200
Valparaiso, IN 46383-8947
Phone (219) 983-6260

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
I20220831000534 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0749612257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15300 W Ave
Suite 108
Orland Park, IL 60462-4685
Phone (708) 226-2318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01085436AINMDHematology & Oncology Physician
125.066101ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients
Porter Health Services Internal Medicine Past Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

15300 West Ave
Ste 108
Orland Park, IL 60462
Phone (708) 226-2318

Organizations & group practices 5

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 6

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1548668148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-226-2318",
            "fax_number": "708-226-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-226-2318",
            "fax_number": "708-226-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 S Michigan Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606162315",
            "country_code": "US",
            "telephone_number": "708-897-4273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US Highway 6",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838947",
            "country_code": "US",
            "telephone_number": "219-983-8300",
            "fax_number": "219-983-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US Highway 6 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838947",
            "country_code": "US",
            "telephone_number": "219-983-6260",
            "fax_number": "219-983-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKADDOUMI",
        "first_name": "YASEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.066101",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01085436A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01085436A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036142341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.