Individual provider Active NPI

Abdul Wahid Royeen, M.D

  • Family Medicine Physician
  • Virginia, IL
National Provider Identifier
1821227976
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036127590 Issued in IL
Practice address
331 S Main St
Virginia, IL 62691
Phone
(217) 452-3057
Fax
(217) 452-7245
NPI assigned
Jul 10, 2009
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036127590 IL Primary

Addresses

Primary practice location

331 S Main St
Virginia, IL 62691

Mailing address

331 S Main St
Virginia, IL 62691-1571
Phone (217) 452-3057

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abdul.royeen.p15@direct.fhn-fqhc.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000623 IL Practitioner - Family Practice 8022287754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Public Health DeptGroup PAC ID 5395745137, 4 clinicians

Practice addresses (Care Compare)

1501 Wall St
Beardstown, IL 62618-2303
Phone (217) 323-2242

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Public Health Dept Current Accepting new patients
Illinois Primary Urgent Care LLC Current Accepting new patients
Cass County Public Health Dept Current Accepting new patients
Cass County Public Health Dept CurrentSince Sep 27, 2017 Accepting new patients

Locations

1501 Wall St
Beardstown, IL 62618
Phone (217) 323-2242

331 S Main St
Virginia, IL 62691
Phone (217) 452-3057

Interoperability endpoints

  • Direct secure messaging: abdul.royeen.p15@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 4

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 2

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1821227976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911571",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "62691",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYEEN",
        "first_name": "ABDUL",
        "middle_name": "WAHID",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abdul.royeen.p15@direct.fhn-fqhc.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "331 S Main St",
            "city": "Virginia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia, IL

Sources for this page

Verify at the official NPI Registry.