| Faysal Massarweh, | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 756-1521 | |
| (815) 748-5789 |
| Full Name | Faysal Massarweh |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851759922 | NPI | - | NPPES |
| 0179577 | Medicaid | OH | |
| 201355800 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01076145A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 036165259 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 35.131179 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physician Partners Pc | 1557613130 | 21 |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| Entity Name | Hospital Care Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295083624 PECOS PAC ID: 7416107487 Enrollment ID: O20140529001220 |
| Entity Name | 24 On Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013497106 PECOS PAC ID: 1557613130 Enrollment ID: O20181009002783 |
| Mailing Address | Practice Location Address |
|---|---|
| Faysal Massarweh, 6435 W Jefferson Blvd, Fort Wayne, IN 46804-6203 Ph: (260) 344-4035 | Faysal Massarweh, 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 |
Ahmar B Rizwan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-5789 | |
Pinalkumar V Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-5789 |