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DR. RAED FUAD ABUSUWWA D.O.
NPI 1861701351
Neurological Surgery in Downers Grove, IL

Active since September 30, 2010PECOS EnrolledAccepts Medicare Assignment
3551 HIGHLAND AVENUE, SUITE 200A, DOWNERS GROVE, IL 60515(844) 376-3876(630) 929-0633 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2022, Nov 18, 2021 (2 updates tracked since 2021).

About Dr. Raed Fuad Abusuwwa D.o. NPPES

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

DR. RAED FUAD ABUSUWWA D.O. (NPI 1861701351) is an individual neurological surgery provider in Downers Grove, Illinois, licensed in Illinois (036-135817) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2007).

NPPES Registry Identity

NPI1861701351
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RAED FUAD ABUSUWWACredential: D.O.
Location Address3551 HIGHLAND AVENUE, SUITE 200ADowners Grove, IL 60515
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(844) 376-3876
Fax(630) 929-0633
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2007
Enumeration DateSeptember 30, 2010
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1861701351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in IL · 036-135817
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3551 HIGHLAND AVENUE, Downers Grove, IL 60515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Raed Fuad Abusuwwa D.o. 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 ID1153644257
PECOS Enrollment IDI20141222001196
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 Reassignment

Medicare enrollment records show Raed Abusuwwa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corporation
0.4 mi
General Acute Care Hospital
3815 HIGHLAND AVE
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1003542184 (Illinois)
  • 4,870 clinicians in this Medicare group
NPI 1578670543 (630) 275-5900

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 7

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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
33 services12 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
32 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Raed Abusuwwa's NPI number?

The NPI number for Raed Abusuwwa is 1861701351. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Raed Abusuwwa located?

Raed Abusuwwa practices at 3551 Highland Avenue Suite 200A, Downers Grove, IL 60515. The listed phone number is (844) 376-3876.

What is Raed Abusuwwa's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Raed Abusuwwa enrolled in Medicare?

Yes. Raed Abusuwwa 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 organization bills Medicare for Raed Abusuwwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raed Abusuwwa reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Downers Grove, IL). The 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 Raed Abusuwwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raed Abusuwwa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Raed Abusuwwa 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 Raed Abusuwwa affiliated with any hospitals?

According to CMS data, Raed Abusuwwa is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Raed Abusuwwa was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.