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JAWDAT ABBOUD MD
NPI 1417964370
Clinic/Center - Primary Care in Oak Brook, IL

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
2425 W. 22ND ST. #205, OAK BROOK, IL 60523(630) 974-1400(188) 846-6332 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2022, Feb 13, 2017 (2 updates tracked since 2017).

About Jawdat Abboud Md NPPES

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

JAWDAT ABBOUD MD (NPI 1417964370) is an individual primary care provider in Oak Brook, Illinois, licensed in Illinois (036087208) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1417964370
Entity TypeIndividualMale
Primary Taxonomy261QP2300X
Provider Legal NameJAWDAT ABBOUDCredential: MD
Location Address2425 W. 22ND ST. #205Oak Brook, IL 60523-1934
Mailing Address2425 W.22nd Street #205Oak Brook, IL 60523-1934 · (630) 974-1400
Phone(630) 974-1400
Fax(188) 846-6332
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1417964370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036087208

Other Identifiers 2

Medicaid036087208IL
Other45-4387283IL · Tax Id

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

Jawdat Abboud 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 ID2264330901
PECOS Enrollment IDI20031219000501
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 Reassignment

Medicare enrollment records show Jawdat Abboud reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charming Skin Med Spa Sc
Clinic/Center
2425 W 22ND ST STE 216
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
NPI 1710250089 (708) 974-4270

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60523 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Jawdat Abboud's NPI number?

The NPI number for Jawdat Abboud is 1417964370. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jawdat Abboud located?

Jawdat Abboud practices at 2425 W. 22nd St. #205, Oak Brook, IL 60523. The listed phone number is (630) 974-1400.

What is Jawdat Abboud's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jawdat Abboud enrolled in Medicare?

Yes. Jawdat Abboud 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 organization bills Medicare for Jawdat Abboud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jawdat Abboud reassigns Medicare benefits to Charming Skin Med Spa Sc (Oak Brook, IL). The 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 Jawdat Abboud'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 Jawdat Abboud was last updated on September 26, 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.