MRS. MAISOUN ROUBI – Family Nurse Practitioner, NPI 1619390275

MRS. MAISOUN ROUBI is a healthcare provider. based in Harwood heights, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.010826 (IL). The NPI Number for MRS. MAISOUN ROUBI is 1619390275

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MAISOUN ROUBI
NPI
1619390275
Phone
(773) 419-6162
Address
4441 N NEWLAND AVE
Enumeration Date
31 January 2014
Last Update Date
31 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125031944
Graduation Year
2013 (13 years ago)
PAC ID
8820347339
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20180816001514
Address ID
IL606112930CH259XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. MAISOUN ROUBI

  • 4441 N NEWLAND AVE

    HARWOOD HEIGHTS, IL 607064833

    Phone: (773) 419-6162

    Mailing address matches the actual address.

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: 2018-08-16

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
I20180816001514INurse PractitionerILTBD

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
99204New patient office or other outpatient visit, 45-59 minutes7373$0
99214Established patient office or other outpatient visit, 30-39 minutes7171$0
99442Telephone medical discussion with physician, 11-20 minutes5858$0
99441Telephone medical discussion with physician, 5-10 minutes5353$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 60706)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does MRS. MAISOUN ROUBI share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. MAISOUN ROUBI uses 1619390275.
Does CMS list MRS. MAISOUN ROUBI as active?
Yes — MRS. MAISOUN ROUBI is active in the NPI listing used on this page.
What is MRS. MAISOUN ROUBI best known for clinically?
Directory data describes MRS. MAISOUN ROUBI with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. MAISOUN ROUBI serve?
MRS. MAISOUN ROUBI's listing highlights Harwood Heights, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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