ERIDA PRIFTI MD
NPI 1205364098
Internal Medicine in Chicago, IL
About Erida Prifti Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIDA PRIFTI MD (NPI 1205364098) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036151920) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.
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 (PECOS)
Erida Prifti Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Erida Prifti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 646 clinicians in this Medicare group
Plymouth, MA 02360
- Reassigned Medicare billing, Massachusetts enrollment
- 239 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CHICAGO, IL 60608
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 Erida Prifti's NPI number?
The NPI number for Erida Prifti is 1205364098. It was assigned to this individual provider in the NPPES registry on May 24, 2017.
Where is Erida Prifti located?
Erida Prifti practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 257-6552.
What is Erida Prifti's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Erida Prifti enrolled in Medicare?
Yes. Erida Prifti is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Erida Prifti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erida Prifti reassigns Medicare benefits to 2 organizations: Mount Sinai Community Foundation (Chicago, IL) and Jordan Physician Associates, Inc. (Plymouth, MA). 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 Erida Prifti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erida Prifti accept?
Health plans from Anthem Blue Cross and Blue Shield list Erida Prifti 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 Erida Prifti was last updated on April 20, 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.