ANTOUN AL KHABBAZ (MD) – Obstetrics & Gynecology Physician, NPI 1992797260
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANTOUN AL KHABBAZ (MD)
West State Street, Rockford, Winnebago County, Illinois, 61102, United States
ROCKFORD, IL 611022112
Phone: (815) 490-1600
Fax: (815) 490-1485
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)
CMS reports 6 Open Payments records for all available years, with a total value of $466.
Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($397).
Total Amount
$466
General + Research + Ownership
Payments
6
Total payment records
General Amount
$466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $397 |
| Organon LLC | $51 |
| CooperSurgical, Inc. | $17 |
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: 2006-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (888 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20061218000098 | I | Obstetrics/Gynecology | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 61102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| - | IL |
Reviews
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