DR. ANASTASIA LVOVNA KHOUBAEVA M.D.
NPI 1053643106
Emergency Medicine in Ottawa, IL

Q: What is Anastasia Khoubaeva's NPI number?

The NPI number for Anastasia Khoubaeva is 1053643106. It was assigned to this individual provider in the NPPES registry on January 31, 2010.

Q: What is Anastasia Khoubaeva's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since January 31, 2010PECOS EnrolledAccepts Medicare Assignment

1100 E NORRIS DR, OTTAWA, IL 61350(815) 433-3100(815) 433-0879 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Oct 23, 2019, Aug 31, 2016 (3 updates tracked since 2016).

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About Dr. Anastasia Lvovna Khoubaeva M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANASTASIA LVOVNA KHOUBAEVA M.D. (NPI 1053643106) is an individual emergency medicine provider in Ottawa, Illinois, licensed in Illinois (036129686) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053643106

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. ANASTASIA LVOVNA KHOUBAEVACredential: M.D.

Location Address1100 E NORRIS DROttawa, IL 61350-1604

Mailing Address1100 E Norris DrOttawa, IL 61350-1604 · (815) 433-3100 · Fax (815) 433-0879

Phone(815) 433-3100

Fax(815) 433-0879

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2009

Enumeration DateJanuary 31, 2010

Last NPPES UpdateJune 6, 20243 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1053643106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036129686

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1100 E NORRIS DR, Ottawa, IL 61350

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Secondary Practice Locations 2

Location 1680 N Lake Shore DrChicago, IL 60611-4546 · Phone (312) 695-6868

Location 22650 Ridge Ave, Evanston HospitalEvanston, IL 60201-1718 · Phone (847) 570-2114 · Fax (847) 570-1223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anastasia Lvovna Khoubaeva M.d. 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.

PECOS PAC ID7214185933

PECOS Enrollment IDI20120920000710

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

578 services566 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

168 services163 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

73 services72 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

70 services69 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141316

Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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