NPIMap

Individual provider Active NPI

Abdulmassih Abdulmassih, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1629045778
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036086946 Issued in IL
Practice address
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone
(847) 673-5166
Fax
(847) 673-5636
NPI assigned
Mar 7, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036086946 IL Primary
Family Medicine Physician 207Q00000X 33781 WI

Addresses

Primary practice location

6201 W Touhy Ave
Chicago, IL 60646-1100

Mailing address

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

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
I20060330000372 IL Practitioner - Family Practice 7416985197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians
Metropolitan Gericare Associates PLLCGroup PAC ID 3577093657, 10 clinicians

Practice addresses (Care Compare)

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43562CAMDFamily Medicine Physician
036086946ILMDFamily Medicine Physician
33781WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Gericare Associates PLLC CurrentSince Sep 13, 2024 Accepting new patients
Metropolitan Healthcare Partners PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Family Doctors/Family Healthcare Current Accepting new patients
Webster Emergency Physicians Past Accepting new patients

Locations

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

5240 N Pulaski Rd
Ste J
Chicago, IL 60630
Phone (773) 539-9300

6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411

6201 W Touhy Ave
Ste 2
Chicago, IL 60646
Phone (847) 236-2450

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1629045778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULMASSIH",
        "first_name": "ABDULMASSIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036086946",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.