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AYHAM ALAGHA M.D.
NPI 1851779151
Hospitalist in Arlington Heights, IL

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(877) 635-9229(847) 618-3259 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Jul 8, 2021, May 24, 2021 and 3 more (6 updates tracked since 2018).

About Ayham Alagha M.d. NPPES

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

AYHAM ALAGHA M.D. (NPI 1851779151) is an individual hospitalist provider in Arlington Heights, Illinois, licensed in Illinois (036145518) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851779151
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAYHAM ALAGHACredential: M.D.
Location Address800 W CENTRAL RDArlington Heights, IL 60005-2349
Mailing Address800 W Central RdArlington Heights, IL 60005-2349 · (877) 635-9229 · Fax (847) 618-3259
Phone(877) 635-9229
Fax(847) 618-3259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 27, 20236 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1851779151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036145518
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.145518 (IL)
800 W CENTRAL RD, Arlington Heights, IL 60005
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13 Erie Ct Ste L700Oak Park, IL 60302-2519 · Phone (708) 763-1222 · Fax (708) 763-1471
Location 220201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (844) 740-4445
Location 34201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 759-4323 · Fax (815) 759-4948

Other Identifiers 1

Other036145518IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayham Alagha M.d. 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 ID749598209
PECOS Enrollment IDI20180619002540, I20221230002230
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

9

Medicare enrollment records show Ayham Alagha reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Health Services Inc
0.2 mi
Obstetrics
880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
NPI 1467057513 (847) 618-0730
Northwestern Medical Faculty Foundation
14 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Resilience Healthcare - Lakefront Medical Associates, LLC
19 mi
General Practice
4646 N MARINE DR
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 82 clinicians in this Medicare group
NPI 1205301926 (773) 878-8700
Insight Chicago, Inc.
24 mi
Internal Medicine
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 354 clinicians in this Medicare group
NPI 1881261006 (312) 567-2000
Hospitalist Consultants Group S.C.
36 mi
Internal Medicine
1900 SILVER CROSS BLVD
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 26 clinicians in this Medicare group
NPI 1215125752 (815) 300-5376
Specialty Physicians Of Illinois, LLC
39 mi
Urgent Care
20180 S LAGRANGE RD
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 148 clinicians in this Medicare group
NPI 1962024612 (815) 464-2010
24 On Physician Partners, PC
54 mi
Hospitalist
1500 S LAKE PARK AVE
Hobart, IN 46342
  • Reassigned Medicare billing, Indiana enrollment
  • 44 clinicians in this Medicare group
NPI 1013497106 (800) 923-2247
Carle West Physician Group Inc
120 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Southern California Permanente Medical Group
1,705 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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

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.

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.
134 services81 patients
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.
92 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
62 services62 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.
57 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Insight Hospital And Medical Center Chicago

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140158
Location2525 S Michigan AveChicago, IL 60616 · Cook County
Emergency services

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$68.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ASAD S MEHDI M.D.
Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (877) 635-9229
CHONG H. PAK MD
Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-8400
JOHN A SHANLEY M.D.
Internal Medicine (Critical Care Medicine)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-4177
KISHEN S. MANGLANI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-6150
DR. VISHAL S OZA M.D.
Anesthesiology
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-1000
ARIANA DOROSKIN
Physical Therapist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-1000
RADIATION ONCOLOGY ASSOCIATES, LLC
Radiology (Radiation Oncology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-6560
CHARLES NOZICKA DO
Emergency Medicine
800 W CENTRAL RD, NORTHWEST COMMUNITY HOSPITAL
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2494

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 Ayham Alagha's NPI number?

The NPI number for Ayham Alagha is 1851779151. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Ayham Alagha located?

Ayham Alagha practices at 800 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (877) 635-9229.

What is Ayham Alagha's specialty?

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

Is Ayham Alagha enrolled in Medicare?

Yes. Ayham Alagha 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.

Which organizations bill Medicare for Ayham Alagha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayham Alagha reassigns Medicare benefits to 9 organizations: Northwest Community Health Services Inc (Arlington Heights, IL), Northwestern Medical Faculty Foundation (Carol Stream, IL), Resilience Healthcare - Lakefront Medical Associates, LLC (Chicago, IL), Insight Chicago, Inc. (Chicago, IL), Hospitalist Consultants Group S.C. (New Lenox, IL) and 4 more organizations, listed in the Medicare section above. 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 Ayham Alagha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayham Alagha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Ayham Alagha 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 Ayham Alagha affiliated with any hospitals?

According to CMS data, Ayham Alagha is affiliated with Northwestern Medicine Mchenry, Insight Hospital And Medical Center Chicago and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Ayham Alagha was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.