DR. ABBAS MANDVIWALA
NPI 1720433618
Hospitalist in Chicago, IL

Active since April 27, 2016PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
259 E ERIE ST, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2019, Apr 3, 2019 (2 updates tracked since 2019).

About Dr. Abbas Mandviwala NPPES

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

DR. ABBAS MANDVIWALA (NPI 1720433618) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036149940) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1720433618
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ABBAS MANDVIWALA
Location Address259 E ERIE STChicago, IL 60611-2987
Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 27, 2016
Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration
NPI 1720433618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036149940
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
259 E ERIE ST, Chicago, IL 60611

Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-2562

Other Identifiers 1

Other1720433618Npi

Accepted 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. Abbas Mandviwala 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 ID345576203
PECOS Enrollment IDI20220617001819
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 4

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.
204 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
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.
24 services24 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Internal Medicine
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Orthopaedic Surgery (Sports Medicine)
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Nurse Practitioner (Family)
259 E ERIE ST
CHICAGO, IL 60611
Internal Medicine
259 E ERIE ST, STE 2230
CHICAGO, IL 60611
Podiatrist
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Nurse Practitioner (Gerontology)
259 E ERIE ST
CHICAGO, IL 60611

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 Abbas Mandviwala's NPI number?

The NPI number for Abbas Mandviwala is 1720433618. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Abbas Mandviwala located?

Abbas Mandviwala practices at 259 E Erie St, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Abbas Mandviwala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Abbas Mandviwala enrolled in Medicare?

Yes. Abbas Mandviwala 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 Abbas Mandviwala accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Abbas Mandviwala 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 Abbas Mandviwala affiliated with any hospitals?

According to CMS data, Abbas Mandviwala is affiliated with Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Abbas Mandviwala was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.