Girma Balcha Assefa, MD - Medicare Internal Medicine in South Holland, IL

Girma Balcha Assefa, MD is a medicare enrolled "Internal Medicine" physician in South Holland, Illinois. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 100 W 162nd St, South Holland, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 730-2200.

Girma Balcha Assefa is licensed to practice in Illinois (license number 036-078388) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619904992.

Contact Information

Girma Balcha Assefa, MD
100 W 162nd St,
South Holland, IL 60473-2003
(708) 730-2200
(708) 210-0636

Map and Direction




Physician's Profile

Full NameGirma Balcha Assefa
GenderMale
SpecialityInternal Medicine
Experience43 Years
Location100 W 162nd St, South Holland, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Girma Balcha Assefa graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1619904992
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 12/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799820577
  • Enrollment ID: I20100304000284

Medical Identifiers

Medical identifiers for Girma Balcha Assefa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619904992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036-078388 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Trinity HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009352484

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Girma Balcha Assefa allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Girma Balcha Assefa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Girma Balcha Assefa, MD
2311 W 22nd St, Suite 202,
Oak Brook, IL 60523-1225

Ph: (630) 320-1160
Girma Balcha Assefa, MD
100 W 162nd St,
South Holland, IL 60473-2003

Ph: (708) 730-2200

Reviews and Comments


Internal Medicine Doctors in South Holland, IL

Lina Jamal Abdallah Ghazal, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    
Dr. Angela Perry, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16613 Paxton Ave, South Holland, IL 60473
Phone: 630-317-5100    
Dr. Carlos Concepcion, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    
Dr. Bhupinder K. Valia, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16115 La Salle St, South Holland, IL 60473
Phone: 708-331-8830    Fax: 708-331-8860
Michelle Harris, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    Fax: 708-210-0625
Cornelius Rogers, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    
Lawrence Okafor, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-210-0613    Fax: 708-210-0648

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.