JABEEN FATIMA – Family Medicine Physician, NPI 1497301832

JABEEN FATIMA is a healthcare provider. based in Addison, Illinois. specializing in EMERGENCY MEDICINE. They hold a License No. 036171801 (IL). The NPI Number for JABEEN FATIMA is 1497301832

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JABEEN FATIMA
NPI
1497301832
Phone
(630) 782-9780
Address
240 E Lake St Ste 102
Enumeration Date
12 August 2019
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309636912
Graduation Year
2006 (20 years ago)
PAC ID
0941502983
Group Practice PAC ID
1254633290
Professional Enrollment ID
I20241015000520
Address ID
IL605152740DO1252XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for JABEEN FATIMA

  • 240 E Lake St Ste 102

    Addison, IL 601012873

    Phone: (630) 782-9780

    Type: Location

  • 1131 S Arlington Heights Rd Ste A

    Arlington Heights, IL 600053140

    Phone: (630) 782-9780

    Type: Location

  • Downtown Urgent Care, 916, Olive Street, Downtown, City of Saint Louis, Missouri, 63101, United States

    SAINT LOUIS, MO 631011400

    Phone: (314) 436-9300

    Type: Location

  • 15th Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 601484701

    Phone:

    Type: Mailing

  • 760 PASQUINELLI DR STE 300

    WESTMONT, IL 605591290

    Phone: (630) 782-9780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $748.

Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($233).

Total Amount

$748

General + Research + Ownership

Payments

9

Total payment records

General Amount

$748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

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: 2024-10-15

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
I20241015000520IEmergency 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 60101)

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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: 1254633290View full group profile
NameSpecialtyState
Family Practice, Internal Medicine, NephrologyIL

Reviews

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Frequently asked questions

How do payers reference JABEEN FATIMA?
For JABEEN FATIMA, use NPI 1497301832 as the unique 10-digit identifier.
Would JABEEN FATIMA appear as active to a payer?
You can treat JABEEN FATIMA as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JABEEN FATIMA?
At a glance, JABEEN FATIMA is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JABEEN FATIMA associated with Addison?
Public fields place JABEEN FATIMA around Addison, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for JABEEN FATIMA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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