ABDUL KHAYYAM MOHAMMED MD
NPI 1073121109
Pathology - Anatomic Pathology in Chicago, IL
About Abdul Khayyam Mohammed Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABDUL KHAYYAM MOHAMMED MD (NPI 1073121109) is an individual anatomic pathology provider in Chicago, Illinois, licensed in Illinois (036168157) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Abdul Khayyam Mohammed Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Abdul Mohammed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Rockford, IL 61108
- Reassigned Medicare billing, Illinois enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSaint Anthony Medical Center
Acute Care Hospitals · Rockford, ILOsf Saint Paul Medical Center
Critical Access Hospitals · Mendota, ILRochelle Community Hospital
Critical Access Hospitals · Rochelle, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Abdul Mohammed's NPI number?
The NPI number for Abdul Mohammed is 1073121109. It was assigned to this individual provider in the NPPES registry on July 15, 2020.
Where is Abdul Mohammed located?
Abdul Mohammed practices at 840 S Wood St, Chicago, IL 60612. The listed phone number is (331) 300-9864.
What is Abdul Mohammed's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.
Is Abdul Mohammed enrolled in Medicare?
Yes. Abdul Mohammed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Abdul Mohammed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Mohammed reassigns Medicare benefits to 2 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Illinois Pathologist Services, LLC (Rockford, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdul Mohammed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Abdul Mohammed affiliated with any hospitals?
According to CMS data, Abdul Mohammed is affiliated with Osf Saint Elizabeth Mdl Ctr, Saint Anthony Medical Center, Osf Saint Paul Medical Center, Rochelle Community Hospital and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Abdul Mohammed was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Abdul Khayyam Mohammed, MD · NPI 1073121109
Anatomic Pathology physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 15, 2020.
## Identity
- **NPI:** 1073121109 (Entity type: Individual)
- **Enumerated:** July 15, 2020
- **Primary specialty:** Pathology - Anatomic Pathology · taxonomy 207ZP0101X
- **State license:** 036168157 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 840 S WOOD ST, Chicago, IL 60612-4325
- **Phone:** (331) 300-9864
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Board Of Trustees Of The University Of Illinois (NPI 1093934275, Chicago, IL); Illinois Pathologist Services, LLC (NPI 1720218415, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073121109) · Data from the CMS NPPES public registry.