HUSAM BALKHY
NPI 1790750891
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chicago, IL

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 and 2 more (5 updates tracked since 2022).

About Husam Balkhy NPPES

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

HUSAM BALKHY (NPI 1790750891) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Chicago, Illinois, licensed in Illinois (036133298) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1790750891
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameHUSAM BALKHY
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 22, 2006
Last NPPES UpdateOctober 24, 20225 updates tracked since enumeration
NPI 1790750891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in IL · 036133298
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

5841 S MARYLAND AVE, Chicago, IL 60637

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

Husam Balkhy 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 ID2668369034
PECOS Enrollment IDI20130801000598
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
85 services85 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
24 services24 patients
Radical reconstruction of mitral valve on heart-lung machine 33427
Radical reconstruction of the mitral valve on a heart-lung machine is a surgery to repair a damaged valve in your heart. The heart-lung machine takes over the function of your heart and lungs during the procedure. This allows the surgeon to work on a still, blood-free heart to improve its function.
22 services22 patients
Coronary artery bypass using artery graft, 2 grafts 33534
A Coronary Artery Bypass with 2 grafts is a heart procedure. It involves taking healthy blood vessels from another part of your body and using them to bypass, or go around, blocked arteries in your heart. This helps improve blood flow to your heart.
18 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
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 Husam Balkhy's NPI number?

The NPI number for Husam Balkhy is 1790750891. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Husam Balkhy located?

Husam Balkhy practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Husam Balkhy's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Husam Balkhy enrolled in Medicare?

Yes. Husam Balkhy 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 Husam Balkhy affiliated with any hospitals?

According to CMS data, Husam Balkhy is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Husam Balkhy was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.