Individual provider Active NPI

Hossam Hamdi Abdelsalam, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Springfield, IL
National Provider Identifier
1972543080
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
036-115028 Issued in IL
Practice address
400 N 9TH St FL 4
Springfield, IL 62702-5310
Phone
(217) 545-8000
NPI assigned
Jun 7, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036115028 IL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 036-115028 IL Primary

Addresses

Primary practice location

400 N 9TH St FL 4
Springfield, IL 62702-5310

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000

Other practice location 1

701 Biesterfield Rd
Elk Grove Village, IL 60007-3309
Phone (847) 490-4222

Other practice location 2

305 W Jackson St Ste 103
Carbondale, IL 62901-1474
Phone (618) 351-4972

Other practice location 3

1801 W Taylor St
Chicago, IL 60612-4795
Phone (312) 996-7416

Other identifiers 1

IdentifierTypeStateIssuer
036115028MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address habdelsalam63238@sih.direct-ci.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
I20060914000435 IL Practitioner - Pediatric MedicinePractitioner - Neurology 5698782175 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036115028ILMDNeurology Physician
036-115028ILMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Nov 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 1, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 23, 2021 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 23, 2021 Accepting new patients
Cook County Current Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Aug 1, 2010 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Nov 1, 2022 Accepting new patients
Cook County CurrentSince Sep 27, 2024 Accepting new patients
Cook County CurrentSince Sep 27, 2024 Accepting new patients

Locations

3040 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3481

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

305 W Jackson St
Ste 103
Carbondale, IL 62901
Phone 6183514972 ext. 65869

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

701 Biesterfield Rd
Elk Grove Vlg, IL 60007
Phone (847) 228-0460

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

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

201 E Madison St
Ste 328
Springfield, IL 62702

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

400 N 9th St
Fl 4
Springfield, IL 62702

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

Interoperability endpoints

  • Direct secure messaging: habdelsalam153965@uihealth.direct-ci.com
  • Direct secure messaging: hossamabdelsalam@siusm.allscriptsdirect.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1972543080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST STE 328",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 4",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025310",
            "telephone_number": "217-545-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Biesterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073309",
            "country_code": "US",
            "telephone_number": "847-490-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Jackson St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-351-4972",
            "fax_number": "618-351-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124795",
            "country_code": "US",
            "telephone_number": "312-996-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELSALAM",
        "first_name": "HOSSAM",
        "middle_name": "HAMDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036115028",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036-115028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115028",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "habdelsalam63238@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 103",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.