DR. EYOAB MATHEWOS MASSEBO MD
NPI 1639813868
Internal Medicine in Urbana, IL

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 838-3311 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2025, Oct 23, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Dr. Eyoab Mathewos Massebo Md NPPES

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

DR. EYOAB MATHEWOS MASSEBO MD (NPI 1639813868) is an individual internal medicine provider in Urbana, Illinois, licensed in Illinois (036176856) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1639813868
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EYOAB MATHEWOS MASSEBOCredential: MD
Location Address611 W PARK STUrbana, IL 61801-2501
Mailing Address611 W Park St, FapcUrbana, IL 61801-2501 · (217) 838-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2022
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1639813868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036176856
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 W PARK ST, Urbana, IL 61801

Secondary Practice Location 1

Location 14801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 215-8000

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. Eyoab Mathewos Massebo 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 ID6709389430
PECOS Enrollment IDI20250910001751
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 Eyoab Massebo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
Internal Medicine
1800 E LAKE SHORE DR
Decatur, IL 62521
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141316
Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801

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 Eyoab Massebo's NPI number?

The NPI number for Eyoab Massebo is 1639813868. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Eyoab Massebo located?

Eyoab Massebo practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 838-3311.

What is Eyoab Massebo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eyoab Massebo enrolled in Medicare?

Yes. Eyoab Massebo 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 Eyoab Massebo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eyoab Massebo reassigns Medicare benefits to 3 organizations: Carle Health Medical Group (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL) and Cep America-Illinois Hospitalists, LLP (Decatur, 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 Eyoab Massebo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Eyoab Massebo affiliated with any hospitals?

According to CMS data, Eyoab Massebo is affiliated with Carle Foundation Hospital and Carle Hoopeston Regional Health Center.

When was this NPI record last updated?

The NPPES record for Eyoab Massebo was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.