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DR. GHASSAN ALDURRA MD
NPI 1699781310
Psychiatry & Neurology - Psychiatry in Hinsdale, IL

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
12 SALT CREEK LN, SUITE 405, HINSDALE, IL 60521(630) 789-7800(630) 789-7803 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Jul 12, 2021 (2 updates tracked since 2021).

About Dr. Ghassan Aldurra Md NPPES

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

DR. GHASSAN ALDURRA MD (NPI 1699781310) is an individual psychiatry provider in Hinsdale, Illinois, licensed in Illinois (036-108963) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1699781310
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GHASSAN ALDURRACredential: MD
Location Address12 SALT CREEK LN, SUITE 405Hinsdale, IL 60521-8605
Mailing Address12 Salt Creek Ln, Suite 405Hinsdale, IL 60521-8605 · (630) 789-7800 · Fax (630) 789-7803
Phone(630) 789-7800
Fax(630) 789-7803
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1699781310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036-108963
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSpecialistTaxonomy 174400000X · License 036-108963 (IL)
12 SALT CREEK LN, Hinsdale, IL 60521
Open in Google Maps ↗

Secondary Practice Location 1

Location 1155 E Brush Hill RdElmhurst, IL 60126-5658 · Phone (847) 508-5559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Ghassan Aldurra 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 ID7214060011
PECOS Enrollment IDI20100730000438
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
669 services214 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
472 services109 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
439 services108 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
260 services235 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services29 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
28 services23 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

HINSDALE GASTROENTEROLOGY ASSOCIATES, SC
Internal Medicine (Gastroenterology)
12 SALT CREEK LN, SUITE 425
HINSDALE, IL 60521
Dupage County (630) 789-2260
ADVENTIST HEALTH PARTNERS, INC
Otolaryngology (Pediatric Otolaryngology)
12 SALT CREEK LN, STE 106
HINSDALE, IL 60521
Dupage County (630) 981-0032
DR. SHIVANI PANKAJ SHAH MD
Pediatrics (Pediatric Endocrinology)
12 SALT CREEK LN, SUITE 106
HINSDALE, IL 60521
Dupage County (630) 856-2731
DR. HELENA MUIRRAGUI MD
Psychiatry & Neurology (Psychiatry)
12 SALT CREEK LN, SUITE 405
HINSDALE, IL 60521
Dupage County (630) 789-7800
DR. BRIANNA YOUNG AU.D.
Audiologist
12 SALT CREEK LN, SUITE 106
HINSDALE, IL 60521
Dupage County (630) 981-0032
GOOD HOPE BEHAVIORAL HEALTH
Clinic/Center (Adult Mental Health)
12 SALT CREEK LN, SUITE 405
HINSDALE, IL 60521
Dupage County (630) 789-7800
MRS. JODI A FALEY LCSW
Social Worker (Clinical)
12 SALT CREEK LN, SUITE 310
HINSDALE, IL 60521
Dupage County (630) 789-7800
DR. WAFIK A HANNA M.D.
Specialist
12 SALT CREEK LN, SUITE 225
HINSDALE, IL 60521
Dupage County (630) 887-8180

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 Ghassan Aldurra's NPI number?

The NPI number for Ghassan Aldurra is 1699781310. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Ghassan Aldurra located?

Ghassan Aldurra practices at 12 Salt Creek Ln Suite 405, Hinsdale, IL 60521. The listed phone number is (630) 789-7800.

What is Ghassan Aldurra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ghassan Aldurra enrolled in Medicare?

Yes. Ghassan Aldurra 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.

What insurance does Ghassan Aldurra accept?

Health plans from Providence Health Plan list Ghassan Aldurra 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 Ghassan Aldurra affiliated with any hospitals?

According to CMS data, Ghassan Aldurra is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ghassan Aldurra was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.