MANIJEH GHAFOURI
NPI 1023265543
Nurse Practitioner - Family in Evanston, IL
About Manijeh Ghafouri NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANIJEH GHAFOURI (NPI 1023265543) is an individual family provider in Evanston, Illinois, licensed in Illinois (309.003894) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Manijeh Ghafouri is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Manijeh Ghafouri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Mokena, IL 60448
- Reassigned Medicare billing, Illinois enrollment
- 223 clinicians in this Medicare group
Mokena, IL 60448
- Reassigned Medicare billing, Illinois enrollment
- 115 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manijeh Ghafouri's NPI number?
The NPI number for Manijeh Ghafouri is 1023265543. It was assigned to this individual provider in the NPPES registry on August 27, 2008.
Where is Manijeh Ghafouri located?
Manijeh Ghafouri practices at 3333 Central St, Evanston, IL 60201. The listed phone number is (847) 869-3800.
What is Manijeh Ghafouri's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Manijeh Ghafouri enrolled in Medicare?
Yes. Manijeh Ghafouri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Manijeh Ghafouri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manijeh Ghafouri reassigns Medicare benefits to 3 organizations: Lutheran General Hospital (Park Ridge, IL), Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL) and Minuteclinic Primary Care Illinois PLLC (Mokena, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manijeh Ghafouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manijeh Ghafouri accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Manijeh Ghafouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Manijeh Ghafouri was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.