DR. ABDULMASSIH ABDULMASSIH M.D.
NPI 1629045778
Family Medicine in Chicago, IL

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
6201 W TOUHY AVE, CHICAGO, IL 60646(847) 673-5166(847) 673-5636 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Abdulmassih Abdulmassih M.d. NPPES

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

DR. ABDULMASSIH ABDULMASSIH M.D. (NPI 1629045778) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036086946) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1629045778
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ABDULMASSIH ABDULMASSIHCredential: M.D.
Location Address6201 W TOUHY AVEChicago, IL 60646-1100
Mailing Address6201 W Touhy AveChicago, IL 60646-1100 · (847) 673-5166 · Fax (847) 673-5636
Fax(847) 673-5636
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 4, 2015
NPI 1629045778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036086946 Licensed in WI · 33781
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6201 W TOUHY AVE, Chicago, IL 60646

Other Identifiers 4

Other0061643200IL · Blue Cross Blue Shield
Medicare UPINF49390
Medicaid036086946IL
Medicare ID-Type UnspecifiedL80252

Accepted 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. Abdulmassih Abdulmassih 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 ID7416985197
PECOS Enrollment IDI20060330000372
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 51

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.

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.
2,015 services612 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
960 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
882 services504 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
747 services320 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
423 services423 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
422 services64 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60646 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%12,971 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%40 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
75%32 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%2,668 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
29%2,668 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers189 claims524 services$5.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
24 suppliers124 claims174 services$0.90 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
9 suppliers34 claims64 services$60.60 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
8 suppliers21 claims113 services$24.84 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers14 claims72 services$37.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers71 claims73 services$14.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6201 W TOUHY AVE
CHICAGO, IL 60646
Podiatrist (Foot & Ankle Surgery)
6201 W TOUHY AVE
CHICAGO, IL 60646
Nurse Practitioner
6201 W TOUHY AVE
CHICAGO, IL 60646
Nurse Practitioner (Family)
6201 W TOUHY AVE
CHICAGO, IL 60646
Nurse Practitioner (Family)
6201 W TOUHY AVE
CHICAGO, IL 60646
Nurse Practitioner (Family)
6201 W TOUHY AVE
CHICAGO, IL 60646
Pharmacist
6201 W TOUHY AVE, SUITE 101
CHICAGO, IL 60646
Family Medicine
6201 W TOUHY AVE
CHICAGO, IL 60646

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 Abdulmassih Abdulmassih's NPI number?

The NPI number for Abdulmassih Abdulmassih is 1629045778. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Abdulmassih Abdulmassih located?

Abdulmassih Abdulmassih practices at 6201 W Touhy Ave, Chicago, IL 60646. The listed phone number is (847) 673-5166.

What is Abdulmassih Abdulmassih's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Abdulmassih Abdulmassih enrolled in Medicare?

Yes. Abdulmassih Abdulmassih 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 Abdulmassih Abdulmassih accept?

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

According to CMS data, Abdulmassih Abdulmassih is affiliated with Northshore University Healthsystem - Evanston Hospital, Presence Saint Francis Hospital, Swedish Hospital, Amita Health Resurrection Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Abdulmassih Abdulmassih was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.