Clarence Abella, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

1106 Neal Ave
Joliet, IL 60433-2548

Phone

(815) 727-8670

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical Group LTDGroup PAC ID 1153585658, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Southwest Medical Group LTD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1306114426
  Medicare reassignment Care Compare group NPD
• Beloved Community Family Wellness Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1760408439
  Medicare reassignment NPD
• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD
• Primary Care Physicians of Joliet SC

  • Primary Care Clinic/Center
  • Joliet, IL
  • NPI 1912473604

  Family Medicine

  Medicare reassignment NPD
• Beloved Community Family Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Blue Island, IL
  • NPI 1114278009
  NPD
• Beloved Community Family Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1144528167
  NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD (past)
• Faminamed Healthcare Providers SC

  • Geriatric Medicine (Family Medicine) Physician
  • Morton Grove, IL
  • NPI 1831337401
  NPD (past)
• Fastrac Medical, P.C.

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1659517597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962513523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 HICKORY CREEK DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513451",
            "telephone_number": "815-462-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 NEAL AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332548",
            "telephone_number": "815-727-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLA",
        "first_name": "CLARENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Housam Abdallah, DMD
• Mazen Abdel-Hadi, M.D.
• Hala Abdelrahman, OTR/L
• Ahmad Abdul Karim, M.D
• Olubanwo Abejide, DMD
• Teresa Marie Abels, MHP
• Tintu Elsa Abraham, MSC
• Dima Abuhamda, DDS
• Baraa Abusaoud, DMD
• Accelerated Rehab Centers LTD

• Family Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.