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HUSAM MARSHEH M.D.
NPI 1154427219
Obstetrics & Gynecology in New Lenox, IL

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
1890 SILVER CROSS BLVD STE 315, NEW LENOX, IL 60451(815) 300-7764 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Husam Marsheh M.d. NPPES

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

HUSAM MARSHEH M.D. (NPI 1154427219) is an individual obstetrics & gynecology provider in New Lenox, Illinois, licensed in Illinois (036110113) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Silver Cross Hospital And Medical Centers, and maintains a secondary practice location in Orland Park.

NPPES Registry Identity

NPI1154427219
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHUSAM MARSHEHCredential: M.D.
Location Address1890 SILVER CROSS BLVD STE 315New Lenox, IL 60451-9605
Mailing Address1890 Silver Cross Blvd Ste 315New Lenox, IL 60451-9605 · (815) 300-7764
Phone(815) 300-7764
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1154427219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036110113
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1890 SILVER CROSS BLVD STE 315, New Lenox, IL 60451
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Secondary Practice Location 1

Location 117047 La Grange RdOrland Park, IL 60487-7227 · Phone (815) 300-7764

Other Identifiers 1

Medicaid036110113IL

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

Husam Marsheh 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 ID5294624847
PECOS Enrollment IDI20040312000352
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

2

Medicare enrollment records show Husam Marsheh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service Systems, Inc
0.1 mi
Internal Medicine
1851 SILVER CROSS BOULEVARD, SUITE 110
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 133 clinicians in this Medicare group
NPI 1851323257 (815) 300-3060
Premier Suburban Medical Group, PLLC
7.3 mi
Multi-Specialty
17047 LA GRANGE RD.
Orland Park, IL 60487
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1902412950 (815) 300-7664

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 5

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 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.
18 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
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.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60451 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 2

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

CHICAGO SPINE AND JOINT, S.C.
Anesthesiology (Pain Medicine)
1890 SILVER CROSS BLVD STE 315
NEW LENOX, IL 60451
Will County (815) 416-1224
YASMEEN MOHAMMAD ABU-SAMRA CNM
Midwife
1890 SILVER CROSS BLVD STE 315
NEW LENOX, IL 60451
Will County (815) 300-7764

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 Husam Marsheh's NPI number?

The NPI number for Husam Marsheh is 1154427219. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Husam Marsheh located?

Husam Marsheh practices at 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451. The listed phone number is (815) 300-7764.

What is Husam Marsheh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Husam Marsheh enrolled in Medicare?

Yes. Husam Marsheh 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 Husam Marsheh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Husam Marsheh reassigns Medicare benefits to 2 organizations: Health Service Systems, Inc (New Lenox, IL) and Premier Suburban Medical Group, PLLC (Orland Park, 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 Husam Marsheh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Husam Marsheh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Husam Marsheh 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 Husam Marsheh affiliated with any hospitals?

According to CMS data, Husam Marsheh is affiliated with Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Husam Marsheh was last updated on August 27, 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.