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MR. IRFAN BABARIYA APRN
NPI 1225755523
Nurse Practitioner - Psychiatric/Mental Health in Morton Grove, IL

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment
8835 CENTRAL AVE, MORTON GROVE, IL 60053(630) 550-6174 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Irfan Babariya Aprn NPPES

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

MR. IRFAN BABARIYA APRN (NPI 1225755523) is an individual psychiatric/mental health provider in Morton Grove, Illinois, licensed in Illinois (209.026196) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Presence Mercy Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1225755523
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. IRFAN BABARIYACredential: APRN
Location Address8835 CENTRAL AVEMorton Grove, IL 60053-2514
Mailing Address8835 Central AveMorton Grove, IL 60053-2514 · (630) 550-6174
Phone(630) 550-6174
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1225755523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.026196
8835 CENTRAL AVE, Morton Grove, IL 60053
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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

Mr. Irfan Babariya Aprn 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 ID1557732203
PECOS Enrollment IDI20230117002874
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 Irfan Babariya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bespoke Psychiatry
11 mi
Psychiatry
1203 W AUGUSTA BLVD STE 1
Chicago, IL 60642
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
NPI 1952937104 (773) 248-2255
Insight Chicago, Inc.
15 mi
Internal Medicine
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 354 clinicians in this Medicare group
NPI 1881261006 (312) 567-2000
Connections Medical Group Associates LLC
38 mi
Child & Adolescent Psychiatry
2081 CALISTOGA DR STE 2S
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1548697618 (815) 418-6070

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

Areas of Expertise CMS Part B claims 4

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 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.
165 services55 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services37 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.
40 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140174
Location1325 N Highland AvenueAurora, IL 60506 · Kane County
Emergency services Birthing friendly

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140180
Location2233 W Division StChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60053 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Irfan Babariya's NPI number?

The NPI number for Irfan Babariya is 1225755523. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Irfan Babariya located?

Irfan Babariya practices at 8835 Central Ave, Morton Grove, IL 60053. The listed phone number is (630) 550-6174.

What is Irfan Babariya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Irfan Babariya enrolled in Medicare?

Yes. Irfan Babariya 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 Irfan Babariya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irfan Babariya reassigns Medicare benefits to 3 organizations: Bespoke Psychiatry (Chicago, IL), Insight Chicago, Inc. (Chicago, IL) and Connections Medical Group Associates LLC (New Lenox, 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 Irfan Babariya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Irfan Babariya affiliated with any hospitals?

According to CMS data, Irfan Babariya is affiliated with Presence Mercy Medical Center and Presence Saints Mary And Elizabeth Medical Center.

When was this NPI record last updated?

The NPPES record for Irfan Babariya was last updated on October 26, 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.