MYSIH HAMMAD
NPI 1891577417
Nurse Practitioner - Family in Tinley Park, IL

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
6740 165TH PL, TINLEY PARK, IL 60477(708) 673-9700 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mysih Hammad NPPES

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

MYSIH HAMMAD (NPI 1891577417) is an individual family provider in Tinley Park, Illinois, licensed in Illinois (041453017) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891577417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYSIH HAMMAD
Location Address6740 165TH PLTinley Park, IL 60477-1766
Mailing Address6740 165th PlTinley Park, IL 60477-1766 · (708) 673-9700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1891577417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 041453017
6740 165TH PL, Tinley Park, IL 60477

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

Mysih Hammad 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 ID2062943723
PECOS Enrollment IDI20241004001985
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 Mysih Hammad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
20201 CRAWFORD AVE
Olympia Fields, IL 60461
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60477 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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 Mysih Hammad's NPI number?

The NPI number for Mysih Hammad is 1891577417. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Mysih Hammad located?

Mysih Hammad practices at 6740 165th Pl, Tinley Park, IL 60477. The listed phone number is (708) 673-9700.

What is Mysih Hammad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mysih Hammad enrolled in Medicare?

Yes. Mysih Hammad 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 Mysih Hammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mysih Hammad reassigns Medicare benefits to Cepamerica Illinois LLP (Olympia Fields, 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 Mysih Hammad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mysih Hammad was last updated on October 18, 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.