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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 3 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.