DR. MOHAMMAD ABDELHAFEZ ISSA (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1033539630

DR. MOHAMMAD ABDELHAFEZ ISSA (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036148856 (IL). The NPI Number for DR. MOHAMMAD ABDELHAFEZ ISSA (MD) is 1033539630

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMAD ABDELHAFEZ ISSA (MD)
NPI
1033539630
Phone
(815) 932-6632
Address
375 N WALL ST STE P520
Enumeration Date
22 April 2014
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159330194
Graduation Year
2010 (16 years ago)
PAC ID
4688902562
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20190830000876
Address ID
IL609013493KA375XXSTXX401

Contacts

Secure Messaging
missa28374@Direct.riversidehealthcare.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for DR. MOHAMMAD ABDELHAFEZ ISSA (MD)

  • 375 N WALL ST STE P520

    KANKAKEE, IL 609013493

    Phone: (815) 932-6632

    Fax: (815) 932-5760

    Type: Mailing

  • 100 RIVERSIDE DR

    BOURBONNAIS, IL 609144607

    Phone: (815) 802-7090

    Fax: (815) 802-7091

    Type: Location

  • 400 Riverside Dr Ste 1600

    Bourbonnais, IL 609145406

    Phone: (815) 802-7090

    Fax: (815) 802-7091

    Type: Location

  • 375 N Wall St Ste P520

    Kankakee, IL 609013493

    Phone: (815) 932-6632

    Fax: (815) 932-5760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $756.

Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($339).

Total Amount

$756

General + Research + Ownership

Payments

11

Total payment records

General Amount

$756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190830000876IPhysical Medicine And RehabilitationILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes410205$0
99213Established patient office or other outpatient visit, 20-29 minutes10780$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance4638$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level4540$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

What number should I use to identify DR. MOHAMMAD ABDELHAFEZ ISSA (MD) for billing?
Administrative and clinical systems typically use NPI 1033539630 for DR. MOHAMMAD ABDELHAFEZ ISSA (MD).
Does the public listing show DR. MOHAMMAD ABDELHAFEZ ISSA (MD) as active?
DR. MOHAMMAD ABDELHAFEZ ISSA (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. MOHAMMAD ABDELHAFEZ ISSA (MD) provide?
DR. MOHAMMAD ABDELHAFEZ ISSA (MD)'s profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MOHAMMAD ABDELHAFEZ ISSA (MD)?
DR. MOHAMMAD ABDELHAFEZ ISSA (MD) shows a connection to Kankakee, Illinois in registry-derived data.
Who maintains DR. MOHAMMAD ABDELHAFEZ ISSA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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