TAMATHOR ABUGHNAIM MD
NPI 1396239273
Emergency Medicine in Oak Lawn, IL

Q: What is Tamathor Abughnaim's NPI number?

The NPI number for Tamathor Abughnaim is 1396239273. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Q: What is Tamathor Abughnaim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5375 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2022, Feb 15, 2022, Jun 14, 2018 (3 updates tracked since 2018).

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About Tamathor Abughnaim Md NPPES

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

TAMATHOR ABUGHNAIM MD (NPI 1396239273) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-155426) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1396239273

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameTAMATHOR ABUGHNAIMCredential: MD

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address29373 Network PlChicago, IL 60673-3909 · (847) 390-5900

Phone(708) 684-5375

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018

Enumeration DateJune 14, 2018

Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1396239273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-155426

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4440 W 95TH ST, Oak Lawn, IL 60453

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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

Tamathor Abughnaim Md 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 ID1850794215

PECOS Enrollment IDI20210722000739, I20260108002120, I20260114001324

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

Medicare enrollment records show Tamathor Abughnaim reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health & Hospitals Corporation

Same address

Medical Specialty

4440 W 95TH ST
Oak Lawn, IL 60453

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1912936014 (847) 390-5900

Belvidere Emergency Physicians, LLC

69 mi

Emergency Medicine

1625 S STATE ST
Belvidere, IL 61008

Reassigned Medicare billing, Illinois enrollment
90 clinicians in this Medicare group

NPI 1306543319 (815) 547-5441

Rockford Emergency Physicians, LLC

79 mi

Emergency Medicine

1401 E STATE ST
Rockford, IL 61104

Reassigned Medicare billing, Illinois enrollment
106 clinicians in this Medicare group

NPI 1639876634 (779) 696-4400

Osf Multi-Specialty Group

119 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1154908929 (309) 683-5050

Baptist Health Medical Group Inc

231 mi

Rural Health

1101 N JIM DAY RD STE 107A
Salem, IN 47167

Reassigned Medicare billing, Indiana and Kentucky enrollments
Also billed through NPI 1811648827 (Kentucky)
532 clinicians in this Medicare group

NPI 1225633761 (812) 883-5501

Oldham County Emergency Physicians, LLC

261 mi

Emergency Medicine

1025 NEW MOODY LN
La Grange, KY 40031

Reassigned Medicare billing, Kentucky enrollment
77 clinicians in this Medicare group

NPI 1508726035 (502) 222-5388

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

84 services84 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

40 services39 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140110

Location1100 E Norris DriveOttawa, IL 61350 · La Salle County

Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

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