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ANUM ABBASI MD
NPI 1679063010
Obstetrics & Gynecology in Chicago, IL

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5140 N CALIFORNIA AVE STE 605, CHICAGO, IL 60625(773) 878-7787(773) 878-0788 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2022, May 10, 2018 (2 updates tracked since 2018).

About Anum Abbasi Md NPPES

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

ANUM ABBASI MD (NPI 1679063010) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036161495) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679063010
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANUM ABBASICredential: MD
Location Address5140 N CALIFORNIA AVE STE 605Chicago, IL 60625-3645
Mailing Address5140 N California Ave Ste 605Chicago, IL 60625-3645 · (773) 878-7787 · Fax (773) 878-0788
Phone(773) 878-7787
Fax(773) 878-0788
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2018
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1679063010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036161495
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5140 N CALIFORNIA AVE STE 605, Chicago, IL 60625
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Anum Abbasi 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 ID244614824
PECOS Enrollment IDI20220831000780
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 Anum Abbasi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc
Same address
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Obhg Illinois Sc
11 mi
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
NPI 1700107216 (800) 967-2289

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

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

BRIEDA STAUNTON APRN
Nurse Practitioner
5140 N CALIFORNIA AVE STE 605
CHICAGO, IL 60625
Cook County (773) 878-7787

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 Anum Abbasi's NPI number?

The NPI number for Anum Abbasi is 1679063010. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Anum Abbasi located?

Anum Abbasi practices at 5140 N California Ave Ste 605, Chicago, IL 60625. The listed phone number is (773) 878-7787.

What is Anum Abbasi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anum Abbasi enrolled in Medicare?

Yes. Anum Abbasi 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 Anum Abbasi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anum Abbasi reassigns Medicare benefits to 3 organizations: Swedish Covenant Management Services, Inc (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Obhg Illinois Sc (Berwyn, 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 Anum Abbasi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anum Abbasi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anum Abbasi 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 Anum Abbasi affiliated with any hospitals?

According to CMS data, Anum Abbasi is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Anum Abbasi was last updated on August 12, 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.