RAND NAFFOUJE M.D.
NPI 1124469267
Internal Medicine - Hematology & Oncology in Naperville, IL

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
120 SPALDING DR STE 111, NAPERVILLE, IL 60540(630) 527-3788(630) 548-6617 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rand Naffouje M.d. NPPES

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

RAND NAFFOUJE M.D. (NPI 1124469267) is an individual hematology & oncology provider in Naperville, Illinois, licensed in Illinois (036140078) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124469267
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRAND NAFFOUJECredential: M.D.
Location Address120 SPALDING DR STE 111Naperville, IL 60540-6766
Mailing Address120 Spalding Dr Ste 111Naperville, IL 60540-6766 · (630) 527-3788 · Fax (630) 548-6617
Fax(630) 548-6617
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 16, 2013
Last NPPES UpdateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
NPI 1124469267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036140078
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125062567 (IL)
120 SPALDING DR STE 111, Naperville, IL 60540

Accepted Insurance

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

Rand Naffouje 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 ID2264655539
PECOS Enrollment IDI20200928003135
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
342 services210 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
295 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services46 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
64 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 9

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

Physician Assistant
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Internal Medicine (Hematology & Oncology)
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Genetic Counselor, MS
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Nurse Practitioner
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Genetic Counselor, MS
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Internal Medicine (Hematology & Oncology)
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Genetic Counselor, MS
120 SPALDING DR STE 111
NAPERVILLE, IL 60540
Internal Medicine (Hematology & Oncology)
120 SPALDING DR STE 111
NAPERVILLE, IL 60540

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 Rand Naffouje's NPI number?

The NPI number for Rand Naffouje is 1124469267. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Rand Naffouje located?

Rand Naffouje practices at 120 Spalding Dr Ste 111, Naperville, IL 60540. The listed phone number is (630) 527-3788.

What is Rand Naffouje's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rand Naffouje enrolled in Medicare?

Yes. Rand Naffouje 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.

What insurance does Rand Naffouje accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Rand Naffouje 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 Rand Naffouje affiliated with any hospitals?

According to CMS data, Rand Naffouje is affiliated with Swedish Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Rand Naffouje was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.