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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.

AMANI QASEM M.D.
NPI 1114238870
Pediatrics - Neonatal-Perinatal Medicine in Maywood, IL

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amani Qasem M.d. NPPES

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

AMANI QASEM M.D. (NPI 1114238870) is an individual neonatal-perinatal medicine provider in Maywood, Illinois, licensed in Illinois (036138453) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Round Rock, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1114238870
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameAMANI QASEMCredential: M.D.
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address4515 Seton Center Pkwy Ste 215Austin, TX 78759-5785 · (512) 231-5506
Phone(708) 216-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 28, 2010
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1114238870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036138453
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License P9698 (TX)
2160 S 1ST AVE, Maywood, IL 60153
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Secondary Practice Location 1

Location 12108 Asbury Park DrRound Rock, TX 78665-5014 · Phone (239) 209-0821

Other Identifiers 2

Other393853YKXVTX · Arc Travis Medicare
Other393853YKXYTX · Arc Rot Medicare

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

Amani Qasem 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 ID3870819188
PECOS Enrollment IDI20250106001709
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 Reassignments

4

Medicare enrollment records show Amani Qasem reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
1.6 mi
Primary Care
1800 S. HARLEM AVE
Riverside, IL 60546
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1497875298 (708) 783-9800
Avid Primary Care LLC
21 mi
Geriatric Medicine
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1295522688 (708) 887-7329
Avid Urgent Care LLC
21 mi
Urgent Care
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1669269635 (708) 887-7329
Epic Med LLC
21 mi
Geriatric Medicine
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1174415376 (708) 887-7329

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

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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Amani Qasem's NPI number?

The NPI number for Amani Qasem is 1114238870. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Amani Qasem located?

Amani Qasem practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Amani Qasem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Amani Qasem enrolled in Medicare?

Yes. Amani Qasem 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 Amani Qasem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amani Qasem reassigns Medicare benefits to 4 organizations: Cook County (Riverside, IL), Avid Primary Care LLC (Hazel Crest, IL), Avid Urgent Care LLC (Hazel Crest, IL) and Epic Med LLC (Hazel Crest, 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 Amani Qasem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amani Qasem was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.