Doctor profile · Federal record

Dr. Elias Bousheh

Physical Therapist (CMS: Physical Therapist in Private Practice) · Athletic Trainer · Decatur, IL

  • NPI 1902376239
  • Accepts Medicare
  • 3 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5255 E Maryland St
Decatur, IL 625219705
(217) 864-1264
fax (217) 864-1828
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 106055224

Credentials & registration

NPPES · NUCC
NPI registered
November 2018 — 8 yrs on file
Profile last updated
September 15, 2023
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
Illinois #070027717

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1902376239. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
91
Distinct HCPCS
1
Medicare allowed
$2,190
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 91 11 $24

In context: peer comparison

Among 6 peers in this city , average services per provider: 395. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Elias Bousheh's medical specialty?
Dr. Elias Bousheh practices Physical Therapist in Decatur, IL.
Where does Dr. Elias Bousheh practice?
Dr. Elias Bousheh practices at 5255 E Maryland St, Decatur, IL 625219705. Office phone: 2178641264.
What is Dr. Elias Bousheh's NPI?
Dr. Elias Bousheh's National Provider Identifier (NPI) is 1902376239, issued by NPPES.
Does Dr. Elias Bousheh accept Medicare assignment?
Yes. Dr. Elias Bousheh accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Elias Bousheh commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.