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DORINA BILALI
NPI 1184337545
Nurse Practitioner - Family in Mayfield Hts, OH

Active since December 30, 2022PECOS EnrolledAccepts Medicare Assignment
1246 WORTON BLVD, MAYFIELD HTS, OH 44124(347) 405-4569 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Dec 30, 2022 (2 updates tracked since 2022).

About Dorina Bilali NPPES

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

DORINA BILALI (NPI 1184337545) is an individual family provider in Mayfield Hts, Ohio, licensed in Ohio (APRN.CNP.0031983) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184337545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORINA BILALI
Location Address1246 WORTON BLVDMayfield Hts, OH 44124-1759
Mailing Address1246 Worton BlvdMayfield Hts, OH 44124-1759 · (347) 405-4569
Phone(347) 405-4569
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 30, 2022
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1184337545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0031983
1246 WORTON BLVD, Mayfield Hts, OH 44124
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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

Dorina Bilali 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 ID1052783305
PECOS Enrollment IDI20230214002057
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 2

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.

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.
47 services45 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44124 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Dorina Bilali's NPI number?

The NPI number for Dorina Bilali is 1184337545. It was assigned to this individual provider in the NPPES registry on December 30, 2022.

Where is Dorina Bilali located?

Dorina Bilali practices at 1246 Worton Blvd, Mayfield Hts, OH 44124. The listed phone number is (347) 405-4569.

What is Dorina Bilali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dorina Bilali enrolled in Medicare?

Yes. Dorina Bilali 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.

Is Dorina Bilali affiliated with any hospitals?

According to CMS data, Dorina Bilali is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Dorina Bilali was last updated on January 31, 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.