DR. KINAN J ABOU-KASSEM MD
NPI 1609405026
Radiology - Diagnostic Radiology in Springfield, IL

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 814-5178 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2021, Apr 7, 2020 (2 updates tracked since 2020).

About Dr. Kinan J Abou-kassem Md NPPES

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

DR. KINAN J ABOU-KASSEM MD (NPI 1609405026) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Missouri (2021022427) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of University Of Missouri, Columbia School Of Medicine (2019).

NPPES Registry Identity

NPI1609405026
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KINAN J ABOU-KASSEMCredential: MD
Location Address800 E CARPENTER STSpringfield, IL 62769-1000
Mailing Address800 E Carpenter Street Box 43Springfield, IL 62769-0001 · (217) 814-5178 · Fax (217) 757-6458
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2019
Enumeration DateApril 7, 2020
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1609405026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · 2021022427
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
800 E CARPENTER ST, Springfield, IL 62769

Secondary Practice Location 1

Location 11 Hospital DriveColumbia, MO 65212 · Phone (573) 882-7901

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. Kinan J Abou-kassem 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 ID7315340023
PECOS Enrollment IDI20260410000998
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 62769 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Internal Medicine (Critical Care Medicine)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Anesthesiology
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62769

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 Kinan Abou-kassem's NPI number?

The NPI number for Kinan Abou-kassem is 1609405026. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Kinan Abou-kassem located?

Kinan Abou-kassem practices at 800 E Carpenter St, Springfield, IL 62769. The listed phone number is (217) 814-5178.

What is Kinan Abou-kassem's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kinan Abou-kassem enrolled in Medicare?

Yes. Kinan Abou-kassem 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 Kinan Abou-kassem was last updated on March 16, 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.