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KHUDEIRA MEDICAL CENTER, INC
NPI 1720332703
Clinic/Center - Urgent Care in Chicago, IL

Active since October 30, 2012CLIA 14D1011576 · Waiver
8071 S CICERO AVE, CHICAGO, IL 60652(773) 585-0480(773) 585-0482 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khudeira Medical Center, Inc NPPES

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

KHUDEIRA MEDICAL CENTER, INC (NPI 1720332703) is a healthcare organization registered as an urgent care in Chicago, Illinois and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Abdulkareem Khudeira, Owner, as its authorized official.

NPPES Registry Identity

NPI1720332703
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameKHUDEIRA MEDICAL CENTER, INC
Location Address8071 S CICERO AVEChicago, IL 60652-2003
Mailing Address9405 S Oketo AveBridgeview, IL 60455-2140 · (773) 585-0480
Phone(773) 585-0480
Fax(773) 585-0482
Organization SubpartNo
Authorized OfficialAbdulkareem KhudeiraOwner · (773) 585-0480
Enumeration DateOctober 30, 2012
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1720332703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
8071 S CICERO AVE, Chicago, IL 60652
Open in Google Maps ↗

Other Identifiers 1

Medicaid036-085737IL

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khudeira Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Khudeira Medical Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abdulkareem Khudeira, M.D.
Internal Medicine
NPI 1538105911
8071 S CICERO AVE
Chicago, IL 60652
(773) 585-0480
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1011576

Khudeira Medical Center · Chicago, IL
Active · expires Apr 14, 2027
CLIA Number14D1011576
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorAbdul Khudeira
Laboratory Phone(773) 585-0480
Laboratory LocationKhudeira Medical Center8071 S Cicero Ave, Chicago, IL 60652
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Khudeira Medical Center, Inc's NPI number?

The NPI number for Khudeira Medical Center, Inc is 1720332703. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Khudeira Medical Center, Inc located?

Khudeira Medical Center, Inc is located at 8071 S Cicero Ave, Chicago, IL 60652. The listed phone number is (773) 585-0480.

What is Khudeira Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Khudeira Medical Center, Inc enrolled in Medicare?

Yes. Khudeira Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Khudeira Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Khudeira Medical Center, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Khudeira Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1011576) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Khudeira Medical Center, Inc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Khudeira Medical Center, Inc 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.

When was this NPI record last updated?

The NPPES record for Khudeira Medical Center, Inc was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.