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

Q: 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.

Q: What is Eyoab Massebo's specialty?

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

Q: 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 10 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.

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: August 09, 2026.

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

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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

Phone(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

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Secondary Practice Location 1

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

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. 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.

Hospital Affiliations CMS Care Compare

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

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology