ISSA ALHAMOUD – Pediatric Nephrology Physician, NPI 1407231913

ISSA ALHAMOUD is a healthcare provider. based in Oak lawn, Illinois. specializing in PEDIATRIC MEDICINE, NEPHROLOGY, PEDIATRIC MEDICINE, NEPHROLOGY. They hold a License No. MD-47190 (IA). The NPI Number for ISSA ALHAMOUD is 1407231913

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ISSA ALHAMOUD
NPI
1407231913
Phone
(708) 684-5437
Address
9555 S 52ND AVE
Enumeration Date
26 July 2015
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2006 (20 years ago)
PAC ID
6002164050
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20251210001190
Address ID
MN554142959MI717XXSEXX405

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
ialhamoud385644@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:10State licenses:2Other names

1,159 PEDIATRIC MEDICINE in IL

Provider Addresses for ISSA ALHAMOUD

  • 9555 S 52ND AVE

    OAK LAWN, IL 604533054

    Phone: (708) 684-5437

    Fax: (708) 876-1569

    Type: Location

  • 120 E Ogden Ave Ste 204

    Hinsdale, IL 605213546

    Phone: (214) 449-3159

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-7249

    Fax: (319) 384-9616

    Type: Mailing

  • 150 HARVESTER DR STE 300

    BURR RIDGE, IL 605275965

    Phone:

    Type: Mailing

  • 333 N SANTA ROSA

    SAN ANTONIO, TX 782073108

    Phone: (210) 704-3030

    Type: Location

  • 120 E OGDEN AVE STE 204

    HINSDALE, IL 605213546

    Phone: (214) 449-3159

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230202000216IPediatric MedicineILTBD
I20231219000828INephrologyMOTBD
I20251210001190INephrologyMNTBD

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 60453)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
-MN
Physician AssistantMN
-MN
P O D I A T R YMN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL
Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for ISSA ALHAMOUD?
Save NPI 1407231913 if you need a stable reference for ISSA ALHAMOUD.
Does this profile mean ISSA ALHAMOUD is currently active?
Yes — ISSA ALHAMOUD appears active in the national provider directory.
What kind of provider is ISSA ALHAMOUD?
The page reflects Pediatric Nephrology Physician for ISSA ALHAMOUD. Clinical services aligned with this taxonomy classification.
What location shows for ISSA ALHAMOUD?
We surface Oak Lawn, Illinois for ISSA ALHAMOUD based on available NPPES addresses.
What if Oak Lawn, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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