DR. ABHIMANYU SAINI M.D.
NPI 1528374030
Internal Medicine - Cardiovascular Disease in Oak Lawn, IL

Q: What is Abhimanyu Saini's NPI number?

The NPI number for Abhimanyu Saini is 1528374030. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Q: What is Abhimanyu Saini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Abhimanyu Saini was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 20, 2010PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

5151 W 95TH ST FL 2, OAK LAWN, IL 60453(708) 346-5562 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2021, Jun 25, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Abhimanyu Saini M.d. NPPES

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

DR. ABHIMANYU SAINI M.D. (NPI 1528374030) is an individual cardiovascular disease provider in Oak Lawn, Illinois, licensed in Illinois (036132362) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1528374030

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. ABHIMANYU SAINICredential: M.D.

Location Address5151 W 95TH ST FL 2Oak Lawn, IL 60453-6460

Mailing Address3545 W 95th StEvergreen Park, IL 60805-2135 · (708) 346-5562

Phone(708) 346-5562

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 20, 2010

Last NPPES UpdateApril 30, 20215 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1528374030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036132362

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036132362 (IL)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 036132362 (IL)

5151 W 95TH ST FL 2, Oak Lawn, IL 60453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Abhimanyu Saini 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 ID1153628177

PECOS Enrollment IDI20170626000367

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 6

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.

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.

130 services110 patients

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

42 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services23 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

17 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140043

Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County

Emergency services Birthing friendly

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

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 Abhimanyu Saini's NPI number?

The NPI number for Abhimanyu Saini is 1528374030. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Abhimanyu Saini located?

Abhimanyu Saini practices at 5151 W 95th St Fl 2, Oak Lawn, IL 60453. The listed phone number is (708) 346-5562.

What is Abhimanyu Saini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Abhimanyu Saini enrolled in Medicare?

Yes. Abhimanyu Saini 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.

What insurance does Abhimanyu Saini accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Abhimanyu Saini 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 Abhimanyu Saini affiliated with any hospitals?

According to CMS data, Abhimanyu Saini is affiliated with Cgh Medical Center and John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Abhimanyu Saini was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.