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IRIA E IRLANDA MD
NPI 1275529869
Internal Medicine - Infectious Disease in Elk Grove Village, IL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
901 BIESTERFIELD RD STE 213, ELK GROVE VILLAGE, IL 60007(847) 690-9767 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2021, Feb 21, 2019 (2 updates tracked since 2019).

About Iria E Irlanda Md NPPES

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

IRIA E IRLANDA MD (NPI 1275529869) is an individual infectious disease provider in Elk Grove Village, Illinois, licensed in Illinois (036094884) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1994).

NPPES Registry Identity

NPI1275529869
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameIRIA E IRLANDACredential: MD
Location Address901 BIESTERFIELD RD STE 213Elk Grove Village, IL 60007-7300
Mailing Address901 Biesterfield Rd Ste 213Elk Grove Village, IL 60007-7300 · (847) 690-9767
Phone(847) 690-9767
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1994
Enumeration DateSeptember 20, 2005
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1275529869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IL · 036094884
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
901 BIESTERFIELD RD STE 213, Elk Grove Village, IL 60007
Open in Google Maps ↗

Other Identifiers 5

Other110207905IL · Railroad Medicare
Medicaid0360948842IL
Other21622441IL · Bcbs Provider Id
Other14611IL · Advocate Christ Id
Other36296015803IL · Advocate Health Ctr Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Iria E Irlanda 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 ID7810080868
PECOS Enrollment IDI20070906000566
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 Iria Irlanda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Infectious Disease & Internal Medicine S C
25 mi
Infectious Disease
7804 W COLLEGE DR, SUITE 1NW
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1447337548 (708) 361-5778

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 8

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.
1,928 services530 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.
233 services119 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
186 services170 patients
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.
122 services77 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.
72 services68 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.
64 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60007 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%111 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%20 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

PATRICIA A LARSON MD
Internal Medicine (Infectious Disease)
901 BIESTERFIELD RD STE 213
ELK GROVE VILLAGE, IL 60007
Cook County (847) 690-9767
PATRICIA A LARSON MD & ASSOCIATES
Internal Medicine (Infectious Disease)
901 BIESTERFIELD RD STE 213
ELK GROVE VILLAGE, IL 60007
Cook County (847) 690-9767

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 Iria Irlanda's NPI number?

The NPI number for Iria Irlanda is 1275529869. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Iria Irlanda located?

Iria Irlanda practices at 901 Biesterfield Rd Ste 213, Elk Grove Village, IL 60007. The listed phone number is (847) 690-9767.

What is Iria Irlanda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Iria Irlanda enrolled in Medicare?

Yes. Iria Irlanda 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 Iria Irlanda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iria Irlanda reassigns Medicare benefits to Southwest Infectious Disease & Internal Medicine S C (Palos Heights, IL). 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 Iria Irlanda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iria Irlanda accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Iria Irlanda 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 Iria Irlanda affiliated with any hospitals?

According to CMS data, Iria Irlanda is affiliated with Palos Community Hospital, Advocate Christ Hospital & Medical Center, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Iria Irlanda was last updated on December 27, 2021. 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.