MAAN SAMI EL KHADRA (MD) – Cardiovascular Disease Physician, NPI 1316946700
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for MAAN SAMI EL KHADRA (MD)
Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123714
Phone: (312) 864-3036
Fax: (312) 864-9349
Type: Mailing
2300 N Edward St Ste 2400
Decatur, IL 625264163
Phone: (217) 876-2400
Fax: (217) 876-2405
Type: Location
3800 W 203rd St Ste 204
Olympia Fields, IL 604611185
Phone: (708) 852-2641
Fax: (708) 503-3260
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,017.
Total Amount is formed as General ($1,017) + Research ($0) + Ownership ($0) = $1,017.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($133).
Total Amount
$1,017
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,017
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040327000290 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
| I20200814000358 | I | Interventional Cardiology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 444 | 396 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 303 | 262 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 193 | 192 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 91 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Nurse Practitioner | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN |
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