SHABNAM DARBARI MD
NPI 1225026016
Internal Medicine - Nephrology in Belleville, IL

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
4550 MEMORIAL DR STE 280, BELLEVILLE, IL 62226(618) 767-3235(618) 234-6156 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shabnam Darbari Md NPPES

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

SHABNAM DARBARI MD (NPI 1225026016) is an individual nephrology provider in Belleville, Illinois, licensed in Illinois (036172282) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1225026016
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSHABNAM DARBARICredential: MD
Location Address4550 MEMORIAL DR STE 280Belleville, IL 62226-5372
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 767-3235 · Fax (618) 234-6156
Fax(618) 234-6156
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 6, 2005
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1225026016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036172282
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4550 MEMORIAL DR STE 280, Belleville, IL 62226

Other Identifiers 1

Medicaid00 2018578NV

Accepted 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

Shabnam Darbari Md 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 ID2062431539
PECOS Enrollment IDI20260218000258
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 Reassignment

Medicare enrollment records show Shabnam Darbari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 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.

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 12

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

Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Plastic Surgery
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner (Acute Care)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Gastroenterology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226

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 Shabnam Darbari's NPI number?

The NPI number for Shabnam Darbari is 1225026016. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Shabnam Darbari located?

Shabnam Darbari practices at 4550 Memorial Dr Ste 280, Belleville, IL 62226. The listed phone number is (618) 767-3235.

What is Shabnam Darbari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shabnam Darbari enrolled in Medicare?

Yes. Shabnam Darbari 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 organization bills Medicare for Shabnam Darbari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Darbari reassigns Medicare benefits to Fairview Heights Medical Group, Sc (Saint Louis, MO). The 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 Shabnam Darbari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shabnam Darbari accept?

Health plans from Anthem Blue Cross and Blue Shield list Shabnam Darbari 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 Shabnam Darbari affiliated with any hospitals?

According to CMS data, Shabnam Darbari is affiliated with Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Shabnam Darbari was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.