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MS. MICHELLE ALBOVIAS M.D.
NPI 1093798662
Obstetrics & Gynecology in Elmhurst, IL

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1200 S YORK ST STE 3250, ELMHURST, IL 60126(331) 221-1700(331) 221-2729 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Michelle Albovias M.d. NPPES

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

MS. MICHELLE ALBOVIAS M.D. (NPI 1093798662) is an individual obstetrics & gynecology provider in Elmhurst, Illinois, licensed in Illinois (036108213) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Chicago College Of Medicine And Surgery (2000).

NPPES Registry Identity

NPI1093798662
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. MICHELLE ALBOVIASCredential: M.D.
Location Address1200 S YORK ST STE 3250Elmhurst, IL 60126-5629
Mailing Address1200 S York St Ste 3250Elmhurst, IL 60126-5629 · (331) 221-1700 · Fax (331) 221-2729
Phone(331) 221-1700
Fax(331) 221-2729
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2000
Enumeration DateNovember 28, 2005
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1093798662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036108213
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1200 S YORK ST STE 3250, Elmhurst, IL 60126
Open in Google Maps ↗

Other Identifiers 2

Other01621679IL · Bcbs Of Il
Medicaid036108213 / 01IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Ms. Michelle Albovias 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 ID8123094406
PECOS Enrollment IDI20040908000738
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michelle Albovias reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
Same address
Clinic/Center
1200 S YORK ST, STE 3160
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1275963027 (331) 221-9090
Rush University Medical Center
1.1 mi
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1801375696 (630) 724-1310
Endeavor Health Medical Group
19 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JENNIFER NELSON L.C.P.C., C.A.D.C.
Counselor (Professional)
1200 S YORK ST STE 3250
ELMHURST, IL 60126
Dupage County (630) 336-3512

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 Michelle Albovias's NPI number?

The NPI number for Michelle Albovias is 1093798662. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Michelle Albovias located?

Michelle Albovias practices at 1200 S York St Ste 3250, Elmhurst, IL 60126. The listed phone number is (331) 221-1700.

What is Michelle Albovias's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Albovias enrolled in Medicare?

Yes. Michelle Albovias 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 Michelle Albovias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Albovias reassigns Medicare benefits to 3 organizations: Edward Health Ventures (Elmhurst, IL), Rush University Medical Center (Oak Brook, IL) and Endeavor Health Medical Group (Evanston, 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 Michelle Albovias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Albovias accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michelle Albovias 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.

Is Michelle Albovias affiliated with any hospitals?

According to CMS data, Michelle Albovias is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Albovias was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.