Active NPI
Mohammad Ali Abbass, MD
- Colon & Rectal Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 036153116
- Practice address
- 259 E Erie St Ste 1600
Chicago, IL 60611-3111 - Phone
- (312) 695-5620
- Fax
- (312) 695-2729
- NPI assigned
- Apr 15, 2014
- Last updated
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.133719 | OH | |
| Colon & Rectal Surgery Physician | 208C00000X | 036153116 | IL | Primary |
Addresses
Primary practice location
259 E Erie St Ste 1600
Chicago, IL 60611-3111
Mailing address
259 E Erie St Ste 1600
Chicago, IL 60611-3111
Phone (312) 695-5620
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (818) 416-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (212) 639-2000
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
136 Mountain View Blvd
Basking Ridge, NJ 07920-3444
136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Phone (908) 542-3000
160 E 53Rd St
New York, NY 10022-5243
Phone (212) 610-0496
222 E 70TH St
New York, NY 10021-5405
Phone (646) 888-4050
2236 Nostrand Ave
Brooklyn, NY 11210-3037
Phone (212) 639-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 73 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153116 | IL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Nassau | Current | Accepting new patients | |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Current | Accepting new patients | |
| Memorial Medical Care PC | Current | Accepting new patients | |
| Mskcc Surgery Group | Surgery | Current | Accepting new patients |
| Memorial Clinical Genetics Group | Current | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
2236 Nostrand Ave
Brooklyn, NY 11210
Phone (718) 406-9454
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
1101 Hempstead Tpke
Uniondale, NY 11553
Phone (516) 559-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Gynecology Physician
- New York, NY
- NPI 1851344337
-
- Surgical Oncology Physician
- Brooklyn, NY
- NPI 1275258048
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
-
- Medical Oncology Physician
- Uniondale, NY
- NPI 1053875229
-
- Medical Oncology Physician
- Middletown, NJ
- NPI 1922459163
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
-
- Special Hospital
- New York, NY
- NPI 1770046351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1730508052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-5620",
"fax_number": "312-695-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-5620",
"fax_number": "312-695-2729"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "818-416-1777",
"fax_number": "216-444-1162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBASS",
"first_name": "MOHAMMAD ALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.133719",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036153116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.