RAID ABDULLA MD
NPI 1710037742
Pediatrics - Pediatric Cardiology in Chicago, IL

Active since January 11, 2007PECOS Enrolled
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612(312) 942-6800(312) 942-6801 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2021, Jul 9, 2020 (2 updates tracked since 2020).

About Raid Abdulla Md NPPES

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

RAID ABDULLA MD (NPI 1710037742) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (036085177) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710037742
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameRAID ABDULLACredential: MD
Location Address1653 W CONGRESS PKWY, 770 JONESChicago, IL 60612-3833
Mailing Address1653 W Congress Pkwy, 770 JonesChicago, IL 60612-3833 · (312) 942-6800 · Fax (312) 942-6801
Fax(312) 942-6801
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1710037742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in IL · 036085177
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 036-085177 (IL)
1653 W CONGRESS PKWY, Chicago, IL 60612

Other Identifiers 1

Medicaid036085177IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raid Abdulla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Raid Abdulla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral and Maxillofacial Surgery
811 S PAULINA ST # MC588
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
  • 2,127 clinicians in this Medicare group
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group

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

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.

Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612

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 Raid Abdulla's NPI number?

The NPI number for Raid Abdulla is 1710037742. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Raid Abdulla located?

Raid Abdulla practices at 1653 W Congress Pkwy 770 Jones, Chicago, IL 60612. The listed phone number is (312) 942-6800.

What is Raid Abdulla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Raid Abdulla enrolled in Medicare?

Yes. Raid Abdulla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raid Abdulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raid Abdulla reassigns Medicare benefits to 2 organizations: Board Of Trustees Fo The University Of Illinois (Chicago, IL) and Lurie Children's Medical Group Inc (Chicago, 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 Raid Abdulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raid Abdulla was last updated on April 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.