Individual provider Active NPI

Assaad Youssef Semaan, M.D

  • Gynecologic Oncology Physician
  • Elk Grove Village, IL
National Provider Identifier
1841457975
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
036131898 Issued in IL
Practice address
800 Biesterfield Rd Ste 302
Elk Grove Village, IL 60007-3378
Phone
(847) 472-1992
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 036131898 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 302
Elk Grove Village, IL 60007-3378

Mailing address

800 Biesterfield Rd Ste 302
Elk Grove Village, IL 60007-3378
Phone (847) 472-1992

Other identifiers 1

IdentifierTypeStateIssuer
036131898MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address assaad.semaan.1@380.direct.athenahealth.com

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
I20130709000625 IL Practitioner - Gynecological Oncology 7618117961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Suite 1400
Hoffman Estates, IL 60169-5038
Phone (847) 755-3273

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

800 Biesterfield Rd
Suite 110
Elk Grove Village, IL 60007-3363
Phone (847) 981-3576

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131898ILMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 15, 2013 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 15, 2013 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Aug 15, 2018 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

800 Biesterfield Rd
Ste 302
Elk Grove Vlg, IL 60007
Phone (847) 472-1992

800 Biesterfield Rd
Ste 110
Elk Grove Vlg, IL 60007
Phone (847) 981-3576

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

315 W Carpenter St
Springfield, IL 62702
Phone (217) 545-5817

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: assaad.semaan.1@380.direct.athenahealth.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 and National Provider Directory roles.

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1841457975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 302",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-472-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 302",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-472-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMAAN",
        "first_name": "ASSAAD",
        "middle_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IL",
            "license": "036131898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131898",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "assaad.semaan.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 302",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.