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ONCOLOGY OF NORTHSHORE CLINIC PLLC
NPI 1962436204
Internal Medicine - Hematology & Oncology in Rolling Meadows, IL

Active since July 11, 2006CLIA 14D0996289 · Waiver
2000 GOLF RD, ROLLING MEADOWS, IL 60008(847) 871-1800(847) 629-4937 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Apr 8, 2025, Sep 19, 2024 and 4 more (7 updates tracked since 2018).

About Oncology Of Northshore Clinic Pllc NPPES

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

ONCOLOGY OF NORTHSHORE CLINIC PLLC (NPI 1962436204) is a healthcare organization registered as a hematology & oncology in Rolling Meadows, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Bassam F Matar, Owner/dr, as its authorized official.

NPPES Registry Identity

NPI1962436204
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameONCOLOGY OF NORTHSHORE CLINIC PLLC
Location Address2000 GOLF RDRolling Meadows, IL 60008
Mailing Address2000 Golf RdRolling Meadows, IL 60008-4216 · (847) 871-1800 · Fax (847) 871-1811
Phone(847) 871-1800
Fax(847) 629-4937
Organization SubpartNo
Authorized OfficialBassam F MatarOwner/dr · (847) 871-1800
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 6, 20257 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1962436204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2000 GOLF RD, Rolling Meadows, IL 60008
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oncology Of Northshore Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Oncology Of Northshore Clinic PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Cesyl Adina, APN
Nurse Practitioner
NPI 1871033282
2000 GOLF RD
Rolling Meadows, IL 60008
(847) 871-1800
✔ PECOS✔ Accepts MedicareSame address
Basharath Khan, MD
Hematology/Oncology
NPI 1205153053
2000 GOLF RD
Rolling Meadows, IL 60008
(847) 871-1800
✔ PECOS✔ Accepts MedicareSame address
Bassam Matar, MD
Hematology/Oncology
NPI 1164462941
2000 GOLF RD
Rolling Meadows, IL 60008
(847) 871-1800
✔ PECOS✔ Accepts MedicareSame address
Manuel Rosado, MD
Hematology/Oncology
NPI 1134228760
2000 GOLF RD
Rolling Meadows, IL 60008
(847) 871-1800
✔ PECOS✔ Accepts MedicareSame address
Syed Abutalib
Hematology/Oncology
NPI 1114183290
2900 W OKLAHOMA AVE
Milwaukee, WI 53215
(414) 649-6380
✔ PECOS✔ Accepts Medicare65 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0996289

Oncology Of Northshore Clinic · Rolling Meadows, IL
Active · expires Jan 23, 2028
CLIA Number14D0996289
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorBassam F. Matar MD
Laboratory Phone(847) 871-1800
Laboratory LocationOncology Of Northshore Clinic2000 Golf Road, Rolling Meadows, IL 60008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Oncology Of Northshore Clinic PLLC's NPI number?

The NPI number for Oncology Of Northshore Clinic PLLC is 1962436204. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Oncology Of Northshore Clinic PLLC located?

Oncology Of Northshore Clinic PLLC is located at 2000 Golf Rd, Rolling Meadows, IL 60008. The listed phone number is (847) 871-1800.

What is Oncology Of Northshore Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Oncology Of Northshore Clinic PLLC enrolled in Medicare?

Yes. Oncology Of Northshore Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oncology Of Northshore Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Oncology Of Northshore Clinic PLLC. A 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 the clinician's services. The largest specialties are Hematology/Oncology (4) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oncology Of Northshore Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0996289) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oncology Of Northshore Clinic PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.