AMANI ALSAIDAT, M.D — NPI 1043053622 (Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) in CHICAGO, IL)

CMS-1500 Box 24J / 33a • NPI

1043053622

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207WX0109X (CMS 18)

Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)

Box 32 Service Location & ZIP+4

820 SOUTH WOOD STREET, UC HEALTH GRADUATE MEDICAL EDUCA, SUITE 100, MC 675, CHICAGO, IL, 60612

Official NPPES Practice Location

Practice Phone & Referral Fax

(312) 996-2933

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043053622 (AMANI ALSAIDAT, M.D) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

✓ Eligible

Hospice Referring

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043053622` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMANI ALSAIDAT, M.D
Plain-English Specialty	Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: `207WX0109X` (Ophthalmology, Neuro-ophthalmology)
Certifying / Licensing Body	American Board of Ophthalmology (ABO)
Practice Location Address	820 SOUTH WOOD STREET, UC HEALTH GRADUATE MEDICAL EDUCA, SUITE 100, MC 675, CHICAGO, IL, 60612
Practice Telephone / Fax	Tel: (312) 996-2933
Administrative Mailing Address	1740 W TAYLOR ST, CHICAGO, IL, 60612
Enumeration & Last Sync	Enumerated: 2024-06-13 \| CMS Record Updated: 2024-12-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

820 SOUTH WOOD STREET, UC HEALTH GRADUATE MEDICAL EDUCA, SUITE 100, MC 675, CHICAGO, IL, 60612

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Plain-English Taxonomy & CMS Crosswalk (207WX0109X)

What Does Taxonomy Code 207WX0109X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207WX0109X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 18 (Physician/Ophthalmology)
Certifying / Accrediting Authority: American Board of Ophthalmology (ABO)
Clinical Scope: Cloudy vision from cataracts, annual diabetic eye exams, glaucoma pressure checks, sudden flashes/floaters, or macular degeneration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMANI ALSAIDAT, M.D)

Typical CPT / Diagnostic Procedures:

Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening

Common Therapeutic Classes:

Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207WX0109X` — Ophthalmology, Neuro-ophthalmology Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)	State: IL \| License: `125084902` \| Primary: Yes (Primary)
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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AMANI ALSAIDAT, M.D (NPI #1043053622)