Sufyan Abdulmujeeb, is a medicare enrolled "Hospitalist" physician in Niles, Illinois. His current practice location is
7900 N Milwaukee Ave Ste 19, Niles, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 318-9595.
Sufyan Abdulmujeeb is licensed to practice in Illinois (license number 036-157665) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013478452.
Physician's Profile
| Full Name | Sufyan Abdulmujeeb |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 7900 N Milwaukee Ave Ste 19, Niles, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013478452
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163808171
- Enrollment ID: I20220928002710
Medical Identifiers
Medical identifiers for Sufyan Abdulmujeeb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013478452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 036-157665 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036-157665 (Illinois) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 036-157665 (Illinois) | Secondary |
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. Sufyan Abdulmujeeb allows following entities to bill medicare on his behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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| Entity Name | Skyline Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972324200
PECOS PAC ID: 7517493455
Enrollment ID: O20241216001304 |
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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. Sufyan Abdulmujeeb 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 |
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Sufyan Abdulmujeeb,
29373 Network Pl,
Chicago, IL 60673-1293
Ph: (847) 390-5900 | Sufyan Abdulmujeeb,
7900 N Milwaukee Ave Ste 19,
Niles, IL 60714-3239
Ph: (847) 318-9595 |
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