Individual provider Active NPI

Maen Nusair, MD

  • Interventional Cardiology Physician
  • Arlington Heights, IL
National Provider Identifier
1942393137
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036132521 Issued in IL
Practice address
880 W Central Rd Ste 7100
Arlington Heights, IL 60005-2379
Phone
(847) 618-2500
Fax
(847) 253-8474
NPI assigned
Oct 2, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009017500 MO
Cardiovascular Disease Physician 207RC0000X 036132521 IL
Interventional Cardiology Physician 207RI0011X 036132521 IL Primary

Addresses

Primary practice location

880 W Central Rd Ste 7100
Arlington Heights, IL 60005-2379

Mailing address

880 W Central Rd Ste 7100
Arlington Heights, IL 60005-2379
Phone (847) 618-2500

Other names 1

  • Maein Nusair Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnusair117261@direct.nch.org

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101002410 IL Practitioner - Interventional Cardiology 7113060187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1632 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 618-2500

199 W Rand Rd
Mount Prospect, IL 60056-1151
Phone (847) 618-5400

2050 Pfingsten Rd
Suite 330
Glenview, IL 60026-1300
Phone (847) 998-4100

2100 Pfingsten Rd
Glenview, IL 60026-1301

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 618-9696

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

880 W Central Rd
Arlington Heights, IL 60005-2355
Phone (847) 483-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting47
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009017500MOMDInternal Medicine Physician
036132521ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Nov 1, 2018 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Nov 30, 2023 Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1632 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-8050

880 W Central Rd
Ste 7100
Arlington Hts, IL 60005
Phone (847) 392-7810

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • Direct secure messaging: mnusair117261@direct.nch.org

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 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1942393137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 7100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052379",
            "telephone_number": "847-618-2500",
            "fax_number": "847-392-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 7100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052379",
            "telephone_number": "847-618-2500",
            "fax_number": "847-253-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSAIR",
        "first_name": "MAEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009017500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036132521",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036132521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnusair117261@direct.nch.org",
            "affiliation": "N",
            "address_1": "880 W Central Rd Ste 7100",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAEIN",
            "last_name": "NUSAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.