MONICA DENISE EGHBALI CNM, DNP
NPI 1306510482
Midwife in Chicago, IL

Active since August 03, 2021PECOS Enrolled
97.71/100
CMS Quality Rating
5849 W 59TH ST, CHICAGO, IL 60638(773) 879-0926 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Monica Denise Eghbali Cnm, Dnp NPPES

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

MONICA DENISE EGHBALI CNM, DNP (NPI 1306510482) is an individual midwife in Chicago, Illinois, licensed in Illinois (209.023721) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306510482
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMONICA DENISE EGHBALICredential: CNM, DNP
Location Address5849 W 59TH STChicago, IL 60638-3627
Mailing Address5841 S Maryland AveChicago, IL 60637-1443 · (773) 834-3961
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1306510482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in IL · 209.023721
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
5849 W 59TH ST, Chicago, IL 60638

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)

Monica Denise Eghbali Cnm, Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Monica Eghbali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4350 S LAPORT AVE
Chicago, IL 60638
  • Reassigned Medicare billing, Illinois enrollment
  • 123 clinicians in this Medicare group
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 clinicians in this Medicare group
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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 Monica Eghbali's NPI number?

The NPI number for Monica Eghbali is 1306510482. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Monica Eghbali located?

Monica Eghbali practices at 5849 W 59th St, Chicago, IL 60638. The listed phone number is (773) 879-0926.

What is Monica Eghbali's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Monica Eghbali enrolled in Medicare?

Yes. Monica Eghbali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Eghbali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Eghbali reassigns Medicare benefits to 3 organizations: Esperanza Health Centers (Chicago, IL), Rush University Medical Group (Chicago, IL) and The University Of Chicago Medical Center (Chicago, 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 Monica Eghbali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Eghbali accept?

Health plans from Oscar Health list Monica Eghbali 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 Monica Eghbali was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.