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

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: November 08, 2026.

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

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 maintains 2 additional practice locations.

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15151 W 95th St Fl 2Oak Lawn, IL 60453-6460 · Phone (708) 346-5562 · Fax (708) 346-5562
Location 211800 Southwest HwyPalos Heights, IL 60463-1029 · Phone (708) 346-5562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Abhimanyu Saini reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois
5.4 mi
Federally Qualified Health Center (FQHC)
8131 S MAY ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1952713323 (312) 996-4656
Cook County
5.4 mi
Multi-Specialty
12757 SOUTH WESTERN AVENUE
Blue Island, IL 60406
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1649390022 (708) 633-2555
Cgh Medical Center
101 mi
Family Medicine
101 E MILLER RD
Sterling, IL 61081
  • Reassigned Medicare billing, Illinois enrollment
  • 356 clinicians in this Medicare group
NPI 1548540636 (815) 625-4790

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 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
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.
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
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Which organizations bill Medicare for Abhimanyu Saini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhimanyu Saini reassigns Medicare benefits to 3 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), Cook County (Blue Island, IL) and Cgh Medical Center (Sterling, IL). Each 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 Abhimanyu Saini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhimanyu Saini accept?

Health plans from Ambetter 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.