DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) – Cardiovascular Disease Physician, NPI 1477087369

DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) is a healthcare provider. based in Evanston, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. W5718 (TX). The NPI Number for DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) is 1477087369

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.)
NPI
1477087369
Phone
(847) 316-4000
Address
355 RIDGE AVE
Enumeration Date
18 April 2017
Last Update Date
7 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082602700
Graduation Year
2015 (11 years ago)
PAC ID
8022440429
Group Practice PAC ID
5193153997
Professional Enrollment ID
I20200722003780

Contacts

Secure Messaging
balazzam75553@ce-direct.presencehealth.org
Secure Messaging
balazzam609512@Direct.FranciscanAlliance.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:9State licenses:3Other names

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Provider Addresses for DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.)

  • Presence Saint Francis Hospital, 355, Ridge Avenue, South Evanston, Evanston, Evanston Township, Cook County, Illinois, 60202, United States

    EVANSTON, IL 602023328

    Phone: (847) 316-4000

    Type: Location

  • 355 Ridge Ave

    Evanston, IL 602023328

    Phone: (847) 316-4000

    Type: Location

  • 404 W Fairmont Pkwy

    LA Porte, TX 775716308

    Phone: (346) 201-6913

    Type: Location

  • 905 W Medical Center Blvd Ste 306

    Webster, TX 775984009

    Phone: (281) 724-8332

    Type: Location

  • 600 N Kobayashi Ste 110

    Webster, TX 775984841

    Phone: (281) 338-1701

    Type: Location

  • 500 N Kobayashi Ste C

    Webster, TX 775984722

    Phone: (281) 816-3092

    Type: Location

  • 5010 Crenshaw Rd Ste 130

    Pasadena, TX 775054615

    Phone: (832) 743-6922

    Type: Location

  • 905 W Medical Center Blvd Ste 102

    Webster, TX 775984009

    Phone: (346) 688-0043

    Type: Location

  • 20201 Crawford Ave

    Olympia Fields, IL 604611010

    Phone: (844) 740-4445

    Type: Location

  • 4201 W Medical Center Dr

    McHenry, IL 600508409

    Phone: (815) 759-4323

    Fax: (815) 759-4948

    Type: Location

  • 2138 S INDIANA AVE APT 2609

    CHICAGO, IL 606165169

    Phone:

    Type: Mailing

  • 35318 EAGLE WAY

    CHICAGO, IL 606781353

    Phone: (317) 528-4800

    Type: Mailing

  • PO BOX 58538

    WEBSTER, TX 775988538

    Phone:

    Type: Mailing

  • 780 CLEAR LAKE CITY BLVD BLDG 2

    WEBSTER, TX 775985500

    Phone: (346) 201-6912

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $2,458.

Total Amount is formed as General ($2,458) + Research ($0) + Ownership ($0) = $2,458.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($387).

Total Amount

$2,458

General + Research + Ownership

Payments

76

Total payment records

General Amount

$2,458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20191122000482IInternal MedicineILTBD
I20200722003780IInternal MedicineWITBD
I20210723002441IInternal MedicineIATBD
I20211022000737IHospitalistINTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5656$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 60202)

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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: 5193153997View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) using NPI 1477087369?
NPI 1477087369 belongs to DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.)?
For scheduling context, DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) is shown as active in the registry.
How would a patient describe DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.)'s focus?
For DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.), the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) associated with Evanston?
Public fields place DR. BAHA'A ABDEL-FATTAH AL-AZZAM (M.D.) around Evanston, Illinois. Always confirm the exact site before visiting.
What does 15 location(s) imply?
15 practice locations appear in the available data.

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