HATEM HASSABALLA
NPI 1699174540
Internal Medicine in Chicago, IL

Active since August 16, 2014PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-5211(773) 702-8875 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Jun 21, 2023, Feb 6, 2023 and 1 more (4 updates tracked since 2022).

About Hatem Hassaballa NPPES

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

HATEM HASSABALLA (NPI 1699174540) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036144048) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699174540
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHATEM HASSABALLA
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150 · Fax (312) 996-8637
Fax(773) 702-8875
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 16, 2014
Last NPPES UpdateApril 30, 20244 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1699174540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036144048
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.

Also ListedHospitalistTaxonomy 208M00000X · License 036144048 (IL)
5841 S MARYLAND AVE, Chicago, IL 60637

Secondary Practice Locations 3

Location 1840 S Wood St Fl 4, Suite 409 (M/C 717)Chicago, IL 60612-4325 · Phone (312) 996-7704 · Fax (312) 996-8637
Location 2800 Biesterfield RdElk Grove Village, IL 60007-3361 · Phone (224) 273-3152
Location 320201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (708) 855-7297 · Fax (708) 679-2161

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

Hatem Hassaballa 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 ID4587964853
PECOS Enrollment IDI20180814002669
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
236 services229 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%20 patients3/55-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.

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.

Pharmacist (Pharmacotherapy)
5841 S MARYLAND AVE, MC 5026
CHICAGO, IL 60637
Dietitian, Registered
5841 S MARYLAND AVE
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pharmacist (Pharmacotherapy)
5841 S MARYLAND AVE, UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL 60637
Genetic Counselor, MS
5841 S MARYLAND AVE, MC 6088
CHICAGO, IL 60637
Genetic Counselor, MS
5841 S MARYLAND AVE, MC 0077
CHICAGO, IL 60637
Surgery
5841 S MARYLAND AVE, MC 5031
CHICAGO, IL 60637
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5841 S MARYLAND AVE, MC1027
CHICAGO, IL 60637

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 Hatem Hassaballa's NPI number?

The NPI number for Hatem Hassaballa is 1699174540. It was assigned to this individual provider in the NPPES registry on August 16, 2014.

Where is Hatem Hassaballa located?

Hatem Hassaballa practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-5211.

What is Hatem Hassaballa's specialty?

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

Is Hatem Hassaballa enrolled in Medicare?

Yes. Hatem Hassaballa 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.

Is Hatem Hassaballa affiliated with any hospitals?

According to CMS data, Hatem Hassaballa is affiliated with Fhn Memorial Hospital, Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Hatem Hassaballa was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.