HIROYUKI ABE
NPI 1275684243
Radiology - Diagnostic Radiology in Chicago, IL

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 (3 updates tracked since 2022).

About Hiroyuki Abe NPPES

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

HIROYUKI ABE (NPI 1275684243) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036113928) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1275684243
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameHIROYUKI ABE
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
✔ NPI 1275684243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IL · 036113928
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5841 S MARYLAND AVE, Chicago, IL 60637

Accepted 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

Hiroyuki Abe 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 ID2365472537
PECOS Enrollment IDI20050817000429, I20240326003153
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 Hiroyuki Abe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • Also billed through NPI 1477262046 (Illinois)
  • 2,237 clinicians in this Medicare group
Diagnostic Radiology
7435 W TALCOTT AVE
Chicago, IL 60631
  • Reassigned Medicare billing, Illinois enrollment
  • 78 clinicians in this Medicare group

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 14

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
280 services280 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
280 services280 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
225 services201 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
224 services200 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
54 services54 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
50 services47 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
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.

Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637

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 Hiroyuki Abe's NPI number?

The NPI number for Hiroyuki Abe is 1275684243. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Hiroyuki Abe located?

Hiroyuki Abe practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Hiroyuki Abe's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Hiroyuki Abe enrolled in Medicare?

Yes. Hiroyuki Abe 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 Hiroyuki Abe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiroyuki Abe reassigns Medicare benefits to 2 organizations: University Of Chicago (Chicago, IL) and Illinois Diagnostic And Interventional Radiology PLLC (Chicago, 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 Hiroyuki Abe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiroyuki Abe accept?

Health plans from Oscar Health list Hiroyuki Abe 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 Hiroyuki Abe affiliated with any hospitals?

According to CMS data, Hiroyuki Abe is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Hiroyuki Abe was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.