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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAAD ARAIN M.D.
NPI 1104212992
Internal Medicine - Hematology in Highland Park, IL

Active since April 08, 2015PECOS Enrolled
93.08/100
CMS Quality Rating
757 PARK AVE W, HIGHLAND PARK, IL 60035(847) 570-2112(847) 480-3805 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2021, Apr 13, 2017 (2 updates tracked since 2017).

About Saad Arain M.d. NPPES

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

SAAD ARAIN M.D. (NPI 1104212992) is an individual hematology provider in Highland Park, Illinois, licensed in Illinois (036146446) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104212992
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameSAAD ARAINCredential: M.D.
Location Address757 PARK AVE WHighland Park, IL 60035-2556
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315
Phone(847) 570-2112
Fax(847) 480-3805
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1104212992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in IL · 036146446
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 036146446 (IL)
757 PARK AVE W, Highland Park, IL 60035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Saad Arain M.d. 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 ID3274840202
PECOS Enrollment IDI20210629001125
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.

Medicare Billing Reassignment

Medicare enrollment records show Saad Arain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
10 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
310 services149 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.
231 services158 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
152 services47 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.
87 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITT ERIKA HANSON DO
Internal Medicine (Hematology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2112
JANET R CHOI MD
Psychiatry & Neurology (Neurology)
757 PARK AVE W, SUITE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 570-2570
STACEY ILLYSE BECKER PA-C
Physician Assistant
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2112
DR. MATTHEW ERIC ADESS MD
Internal Medicine (Medical Oncology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3800
LINDA ADVINCULA APN-CNP
Nurse Practitioner
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3800
JOSEPH KIZHAKKADATHU
Physician Assistant (Surgical)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-1700
MARIE DREYER
Internal Medicine (Hematology & Oncology)
757 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2112

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 Saad Arain's NPI number?

The NPI number for Saad Arain is 1104212992. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Saad Arain located?

Saad Arain practices at 757 Park Ave W, Highland Park, IL 60035. The listed phone number is (847) 570-2112.

What is Saad Arain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Saad Arain enrolled in Medicare?

Yes. Saad Arain 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 organization bills Medicare for Saad Arain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saad Arain reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Saad Arain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saad Arain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Saad Arain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Saad Arain affiliated with any hospitals?

According to CMS data, Saad Arain is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Saad Arain was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.