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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CASEM BALLOUK MD
NPI 1649851924
General Practice in Chicago, IL

Active since April 18, 2021PECOS Enrolled
7531 S STONY ISLAND AVE STE 164, CHICAGO, IL 60649(619) 333-0214 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 20, 2023, Apr 18, 2021 (3 updates tracked since 2021).

About Dr. Casem Ballouk Md NPPES

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

DR. CASEM BALLOUK MD (NPI 1649851924) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (4301510121) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649851924
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CASEM BALLOUKCredential: MD
Location Address7531 S STONY ISLAND AVE STE 164Chicago, IL 60649-3954
Mailing Address3990 John R StDetroit, MI 48201-2018 · (313) 745-8040
Phone(619) 333-0214
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2021
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1649851924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 4301510121
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7531 S STONY ISLAND AVE STE 164, Chicago, IL 60649
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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. Casem Ballouk 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 ID3375990567
PECOS Enrollment IDI20231109001267, I20241107002573, I20251218003324
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.

Other Providers at the Same Location NPPES 6

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

EBONY WELLNESS LLC
Nurse Practitioner (Gerontology)
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-7689
HFE79 INC
Nurse Practitioner (Gerontology)
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-7689
CYNTHIA M MITCHELL APRN
Nurse Practitioner (Family)
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831
SOL MED LLC
Family Medicine
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831
DR. SIME H ALEMU
General Practice
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (469) 924-4445
SUN MED LAB LLC
Family Medicine
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831

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 Casem Ballouk's NPI number?

The NPI number for Casem Ballouk is 1649851924. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Casem Ballouk located?

Casem Ballouk practices at 7531 S Stony Island Ave Ste 164, Chicago, IL 60649. The listed phone number is (619) 333-0214.

What is Casem Ballouk's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Casem Ballouk enrolled in Medicare?

Yes. Casem Ballouk 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 Casem Ballouk was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.