MALLACK JABER PA-C
NPI 1073189825
Physician Assistant in Chicago, IL

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
211 E ONTARIO ST STE 200, CHICAGO, IL 60611(312) 694-7000(312) 926-6274 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, May 17, 2022, Jun 2, 2021 (3 updates tracked since 2021).

About Mallack Jaber Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLACK JABER PA-C (NPI 1073189825) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.008201) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073189825
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLACK JABERCredential: PA-C
Location Address211 E ONTARIO ST STE 200Chicago, IL 60611-3284
Mailing Address211 E Ontario St Ste 200Chicago, IL 60611-3284 · (312) 694-7000 · Fax (312) 926-6274
Fax(312) 926-6274
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1073189825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.008201
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

211 E ONTARIO ST STE 200, Chicago, IL 60611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallack Jaber Pa-c 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.

PECOS PAC ID9537565999
PECOS Enrollment IDI20210909002744
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
16 services16 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Nurse Practitioner
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Physician Assistant
211 E ONTARIO ST STE 200
CHICAGO, IL 60611

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 Mallack Jaber's NPI number?

The NPI number for Mallack Jaber is 1073189825. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Mallack Jaber located?

Mallack Jaber practices at 211 E Ontario St Ste 200, Chicago, IL 60611. The listed phone number is (312) 694-7000.

What is Mallack Jaber's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallack Jaber enrolled in Medicare?

Yes. Mallack Jaber 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.

Is Mallack Jaber affiliated with any hospitals?

According to CMS data, Mallack Jaber is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Mallack Jaber was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.