DR. GHADA ALBEHEARY MD
NPI 1477534576
Psychiatry & Neurology - Psychiatry in Chicago, IL
NPI Status: Active since November 07, 2005
Contact Information
980 N MICHIGAN AVE
SUITE #1083
CHICAGO, IL
ZIP 60611
Phone: (312) 202-9601
Fax: (312) 202-9607
- Individual
- Female
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About GHADA ALBEHEARY
This page provides the complete NPI Profile along with additional information for Ghada Albeheary, a provider established in Chicago, Illinois with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1477534576 assigned on November 2005. The practitioner's primary taxonomy code is 2084P0800X with license number 036102355 (IL). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1477534576
- Provider Name
- DR. GHADA ALBEHEARY MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 980 N MICHIGAN AVE SUITE #1083 CHICAGO, IL 60611
- Location Phone
- (312) 202-9601
- Location Fax
- (312) 202-9607
- Mailing Address
- 980 N MICHIGAN AVE SUITE #1083 CHICAGO, IL 60611
- Mailing Phone
- (312) 202-9601
- Mailing Fax
- (312) 202-9607
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-07-2005
- Last Update Date
- 02-23-2017
- Code Navigator
A psychiatrist like Ghada Albeheary are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036102355
- License State
- IL
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
I38238 | MEDICARE UPIN (02) | IL | |
213509 | MEDICARE PIN (08) | IL |
Medicare Participation & PECOS Enrollment Status
Ghada Albeheary is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 94 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60611 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $183.39
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $45.84
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GHADA ALBEHEARY MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 7 | 7 | 5 | 3 | 4 | 5 | 7 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 14 | 7 | 10 | 3 | 8 | 5 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 4 + 7 + 1 + 0 + 3 + 8 + 5 + 1 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1477534576 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1689605024 | HEATHER N. MCCOMBS, DPM, LLC Organization | Podiatrist | 980 N MICHIGAN AVE STE 1100 CHICAGO, IL 60611 (312) 944-0000 |
1942399761 | DR. SAMUEL HOWARD WURSTER MD Individual | Plastic Surgery | 980 N MICHIGAN AVE SUITE 1417 CHICAGO, IL 60611 (312) 214-3656 |
1699813576 | DR. KEVIN A OSTEN PSY.D. Individual | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE #1083 CHICAGO, IL 60611 (773) 220-5452 |
1548498777 | FIGURE FACTS, LLC Organization | Dietitian, Registered | 980 N MICHIGAN AVE SUITE 1400 CHICAGO, IL 60611 (847) 508-7536 |
1841521713 | YOUR LIFESMILES Organization | Clinic/Center (Dental) | 980 N MICHIGAN AVE SUITE 1520 CHICAGO, IL 60611 (312) 944-5200 |
1588984595 | PHS HOME HEALTH LLC Organization | Home Health | 980 N MICHIGAN AVE SUITE 1400 CHICAGO, IL 60611 (312) 214-3605 |
1720397474 | SARA D BARRETT PHD Individual | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE 800 CHICAGO, IL 60611 (312) 238-7800 |
1679589717 | ROBERT NORMAN HARDEN MD Individual | Pain Medicine (Pain Medicine) | 980 N MICHIGAN AVE STE. 800 CHICAGO, IL 60611 (312) 238-7800 |
1114334547 | CHICAGO NEUROREHABILITATION CENTER LLC Organization | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE 1400 CHICAGO, IL 60611 (312) 504-4428 |
1134304280 | DR. APRIL L CARBONE PH.D. Individual | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE 1190 CHICAGO, IL 60611 (312) 291-8454 |
1932130366 | HEATHER MCCOMBS DPM Individual | Podiatrist | 980 N MICHIGAN AVE STE 1100 CHICAGO, IL 60611 (312) 944-0000 |
1265671044 | APRIL L. CARBONE, PH.D., LLC Organization | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE 1190 CHICAGO, IL 60611 (312) 219-8454 |
1780061762 | MRS. ROBERTA HELEN CLARKE JENERO LDN Individual | Dietitian, Registered | 980 N MICHIGAN AVE SUITE 1400 CHICAGO, IL 60611 (312) 988-4850 |
1851758239 | LEANNA FORTUNATO PSYCHOLOGICAL SERVICES, P.C. Organization | Psychologist (Clinical) | 980 N MICHIGAN AVE SUITE 1400 CHICAGO, IL 60611 (312) 214-3994 |
1255885257 | DR. LOUIS SANTINI DMD Individual | Dentist | 980 N MICHIGAN AVE CHICAGO, IL 60611 (312) 944-8880 |
1386606648 | AMY VOLPE PT, DPT, CLT Individual | Physical Therapist | 980 N MICHIGAN AVE SUITE 800 CHICAGO, IL 60611 (312) 238-7800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477534576, enumerated in the NPI registry as an "individual" on November 07, 2005
The provider is located at 980 N Michigan Ave Suite #1083 Chicago, Il 60611 and the phone number is (312) 202-9601
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $183.39 with an average copayment of $45.84 for new patient appointments. Established patients should expect a typical charge of $74.8 and an average copayment of 18.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on November 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.