1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

SEEMA ELAHI M.D.
NPI 1952326019
Internal Medicine in Chicago, IL

Active since July 12, 2006PECOS Enrolled
86.28/100
CMS Quality Rating
6374 N LINCOLN AVE, SUITE 303, CHICAGO, IL 60659(773) 588-7733(773) 588-7340 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seema Elahi M.d. NPPES

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

SEEMA ELAHI M.D. (NPI 1952326019) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036084250) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952326019
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSEEMA ELAHICredential: M.D.
Location Address6374 N LINCOLN AVE, SUITE 303Chicago, IL 60659-1275
Mailing Address6374 N Lincoln Ave, Suite 303Chicago, IL 60659-1275 · (773) 588-7733 · Fax (773) 588-7340
Phone(773) 588-7733
Fax(773) 588-7340
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 19, 2015
✔ NPI 1952326019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036084250
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6374 N LINCOLN AVE, Chicago, IL 60659
Open in Google Maps ↗

Other Identifiers 5

OtherP00196006IL · Medicare Rr-ga
Medicare UPINL26282IL
Medicaid036084250IL
Medicare PINK07715IL
Medicare PINK52934

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seema Elahi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
1,301 services202 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
1,104 services162 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.
131 services77 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
64 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.79
Promoting Interoperability81
Improvement Activities40
Cost80.65

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%88 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%179 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%185 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%164 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers36 claims94 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims24 services$1.08 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. ALBAN GEORGE FISHER PHD
Counselor (Professional)
6374 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 270-5999
BARRY P ATLAS M.D.
Internal Medicine
6374 N LINCOLN AVE, SUITE 312
CHICAGO, IL 60659
Cook County (773) 588-7710
MARK MEER PSYD
Psychologist (Clinical)
6374 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 270-5999
INTERNAL MEDICINE AFFILIATES,S.C.
Internal Medicine
6374 N LINCOLN AVE, SUITE 303
CHICAGO, IL 60659
Cook County (773) 588-7733
NORTHSHORE PEDIATRICS ASSOCIATES,S.C.
Specialist
6374 N LINCOLN AVE, SUITE 203
CHICAGO, IL 60659
Cook County (773) 509-0023
ESTHER CHAYA PERMAN LMSW
Social Worker
6374 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 270-5999
MERRILL ZAHTZ M.D.
Internal Medicine
6374 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 270-5999
SHAINA PEYSIN LSW
Social Worker
6374 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 270-5999

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 Seema Elahi's NPI number?

The NPI number for Seema Elahi is 1952326019. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Seema Elahi located?

Seema Elahi practices at 6374 N Lincoln Ave Suite 303, Chicago, IL 60659. The listed phone number is (773) 588-7733.

What is Seema Elahi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Seema Elahi enrolled in Medicare?

Yes. Seema Elahi is registered in the Medicare PECOS enrollment system.

What insurance does Seema Elahi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Seema Elahi 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.

When was this NPI record last updated?

The NPPES record for Seema Elahi was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.