ASIM ELMAHBOUB M.D.
NPI 1316984859
Internal Medicine - Adolescent Medicine in Greenville, IL

Q: What is Asim Elmahboub's NPI number?

The NPI number for Asim Elmahboub is 1316984859. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Asim Elmahboub's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Q: When was this NPI record last updated?

The NPPES record for Asim Elmahboub was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2019, Apr 17, 2018 (2 updates tracked since 2018).

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About Asim Elmahboub M.d. NPPES

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

ASIM ELMAHBOUB M.D. (NPI 1316984859) is an individual adolescent medicine provider in Greenville, Illinois, licensed in Illinois (036-092411) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Oak Brook.

NPPES Registry Identity

NPI1316984859

Entity TypeIndividualMale

Primary Taxonomy207RA0000X

Provider Legal NameASIM ELMAHBOUBCredential: M.D.

Location Address200 HEALTH CARE DRGreenville, IL 62246-1154

Mailing Address900 Jorie Blvd, Suite 186Oak Brook, IL 60523-2213 · (630) 954-6700 · Fax (630) 954-1555

Phone(618) 664-1230

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1996

Enumeration DateJune 1, 2006

Last NPPES UpdateMay 10, 20192 updates tracked since enumeration

✔ NPI 1316984859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in IL · 036-092411

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036.092411 (IL)

Also ListedHospitalistTaxonomy 208M00000X · License 036.092411 (IL)

200 HEALTH CARE DR, Greenville, IL 62246

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Secondary Practice Location 1

Location 1900 Jorie Blvd, SUITE 186Oak Brook, IL 60523-2213 · Phone (630) 954-6700 · Fax (630) 954-1555

Other Identifiers 2

Medicaid036092477IL

OtherL51016IL · Medicare Pin For Goup #645650

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Asim Elmahboub 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 ID4284538893

PECOS Enrollment IDI20070314000259

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.

Areas of Expertise CMS Part B claims

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

44 services28 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers14 claims14 services$14.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers17 claims17 services$65.68 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers37 claims37 services$16.17 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

4 suppliers25 claims25 services$7.72 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHRISTOPHER ENGELE

Nurse Practitioner (Family)