AZZAM M ALKHUDARI (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1285706754

AZZAM M ALKHUDARI (MD) is a healthcare provider. based in Burr ridge, Illinois. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036-113149 (IL). The NPI Number for AZZAM M ALKHUDARI (MD) is 1285706754

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
AZZAM M ALKHUDARI (MD)
NPI
1285706754
Phone
(630) 590-5809
Address
8S180 S VINE ST
Enumeration Date
14 November 2006
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125722000
Graduation Year
1992 (34 years ago)
PAC ID
1951405851
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20120612000510
Address ID
IL606152494CH500XXSTXX400

Contacts

Secure Messaging
aalkhudari@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

483 PAIN MANAGEMENT in IL

Provider Addresses for AZZAM M ALKHUDARI (MD)

  • 8S180 S VINE ST

    BURR RIDGE, IL 605275542

    Phone: (630) 590-5809

    Fax: (630) 246-3166

    Type: Location

  • 8S180 S Vine St

    Burr Ridge, IL 605275542

    Phone: (630) 590-5809

    Fax: (630) 246-3166

    Type: Location

  • 5669 W 95TH ST STE 3A

    OAK LAWN, IL 604532382

    Phone: (708) 634-2627

    Fax: (630) 246-3166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,513.

Total Amount is formed as General ($1,513) + Research ($0) + Ownership ($0) = $1,513.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Medtronic, Inc. ($656).

Total Amount

$1,513

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,513

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2012-06-12

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
I20120612000510IPain ManagementILTBD

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 minutes16852$0
99213Established patient office or other outpatient visit, 20-29 minutes8367$0
20610Aspiration and/or injection of fluid from large joint4435$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
J1030Injection, methylprednisolone acetate, 40 mg1412$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for AZZAM M ALKHUDARI (MD)?
AZZAM M ALKHUDARI (MD) — NPI 1285706754 — is the standard way to identify this listing.
Can I rely on AZZAM M ALKHUDARI (MD) being an active provider?
As of the registry snapshot, AZZAM M ALKHUDARI (MD) is marked active.
What healthcare role does AZZAM M ALKHUDARI (MD) hold?
Scheduling teams often label AZZAM M ALKHUDARI (MD) under Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where is AZZAM M ALKHUDARI (MD) based?
AZZAM M ALKHUDARI (MD) is tied to Burr Ridge, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about AZZAM M ALKHUDARI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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