Gerges Abdelsayed, MBBCH BAO
Individual provider Active NPI Diagnostic Radiology Physician · Maywood, IL
NPI 1942902606 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1942902606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 125.083137 (IL)
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-1084
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125083731 | IL | MD | Orthopaedic Surgery Physician |
| 125.083137 | IL | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- gerges.abdelsayed@hca5.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 125.083137 | IL | Yes |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (630) 716-9809
Other practice location 1
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (184) 369-2100
Other providers in Maywood, IL
- Stefanie Abbott
- Osamah Abdallah
- Abdelhai Abdelqader
- Samer Abdelsamie
- Zaid M Abdelsattar
- Shahad Abdulameer
- Boraan Abdulkarim
- Fizan Abdullah
- Hany S Abed
- Ayokunle Temidayo Abegunde
All providers in Maywood, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.