Asim Elmahboub, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Greenville, Illinois. He went to Michigan State University College Of Human Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Theoria Medical and his current practice location is
200 Health Care Dr, Greenville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 664-1230.
Asim Elmahboub is licensed to practice in Illinois (license number 036-092411) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316984859.
Physician's Profile
| Full Name | Asim Elmahboub |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 29 Years |
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| Location | 200 Health Care Dr, Greenville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Asim Elmahboub attended and graduated from Michigan State University College Of Human Medicine in 1996
NPI Data:
- NPI Number: 1316984859
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 05/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284538893
- Enrollment ID: I20070314000259
Medical Identifiers
Medical identifiers for Asim Elmahboub such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316984859 | NPI | - | NPPES |
| L51016 | Other | IL | MEDICARE PIN FOR GOUP #645650 |
| 036092477 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 036.092411 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036.092411 (Illinois) | Secondary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | 036-092411 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Theoria Medical | 5395098339 | 414 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Asim Elmahboub allows following entities to bill medicare on his behalf.
| Entity Name | United Elite Hospitalists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912279050 PECOS PAC ID: 6204075112 Enrollment ID: O20130625000212 |
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| Entity Name | Cep America-illinois Hospitalists, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
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| Entity Name | Cep America - Illinois Snf Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
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| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241001000333 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Asim Elmahboub is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Asim Elmahboub, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Asim Elmahboub, MD 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
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