MOTAZ ABAS (MD) – Internal Medicine Physician, NPI 1215510201

MOTAZ ABAS (MD) is a healthcare provider. based in Peoria, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. XXXXXXXX (IL). The NPI Number for MOTAZ ABAS (MD) is 1215510201

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MOTAZ ABAS (MD)
NPI
1215510201
Phone
(309) 655-2730
Address
530 NE GLEN OAK AVE
Enumeration Date
28 April 2021
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083808888
Graduation Year
2021 (5 years ago)
PAC ID
2365880341
Group Practice PAC ID
4688011885
Professional Enrollment ID
I20240410001024
Address ID
IL604572238HI9634XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

Provider Addresses for MOTAZ ABAS (MD)

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-2730

    Fax: (309) 655-3297

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($201).

Total Amount

$212

General + Research + Ownership

Payments

3

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-04-10

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
I20240410001024IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61637)

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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: 4688011885View full group profile
NameSpecialtyState
Physician AssistantIL
Family PracticeNE
Internal MedicineIL

Reviews

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Frequently asked questions

How do I look up MOTAZ ABAS (MD) by NPI?
Use NPI 1215510201 when you need to reference MOTAZ ABAS (MD) in forms, claims, or directories.
Is MOTAZ ABAS (MD) active in the national directory?
MOTAZ ABAS (MD)'s public NPI profile is in an active state.
Does MOTAZ ABAS (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MOTAZ ABAS (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MOTAZ ABAS (MD)?
The snapshot lists Peoria, Illinois for MOTAZ ABAS (MD); download NPPES for the complete set.
What if Peoria, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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