AVICENNA HEALTH CENTER CORP
NPI 1093300956
Physical Therapist in Palos Hills, IL
About Avicenna Health Center Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVICENNA HEALTH CENTER CORP (NPI 1093300956) is a healthcare organization registered as a physical therapist in Palos Hills, Illinois and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Adham Badwan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avicenna Health Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Avicenna Health Center Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2320823
Avicenna Health Center Corp · Palos Hills, ILFrequently 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 Avicenna Health Center Corp's NPI number?
The NPI number for Avicenna Health Center Corp is 1093300956. It was assigned to this organization in the NPPES registry on March 3, 2021.
Where is Avicenna Health Center Corp located?
Avicenna Health Center Corp is located at 10417 S Roberts Rd, Palos Hills, IL 60465. The listed phone number is (708) 307-9376.
What is Avicenna Health Center Corp's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Avicenna Health Center Corp enrolled in Medicare?
Yes. Avicenna Health Center Corp is registered in the Medicare PECOS enrollment system.
When is Avicenna Health Center Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Avicenna Health Center Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Avicenna Health Center Corp. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avicenna Health Center Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2320823) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Avicenna Health Center Corp was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.