SOLMAZ NIKNAM -BIENIA MD
NPI 1316234446
Plastic Surgery in Hinsdale, IL

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
201 E OGDEN AVE STE 114, HINSDALE, IL 60521(630) 686-7255 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Jan 6, 2023, Aug 23, 2021 and 1 more (4 updates tracked since 2021).

About Solmaz Niknam -bienia Md NPPES

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

SOLMAZ NIKNAM -BIENIA MD (NPI 1316234446) is an individual plastic surgery provider in Hinsdale, Illinois, licensed in Illinois (036.161394) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316234446
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameSOLMAZ NIKNAM -BIENIACredential: MD
Location Address201 E OGDEN AVE STE 114Hinsdale, IL 60521-3658
Mailing Address201 E Ogden Ave Ste 114Hinsdale, IL 60521-3658 · (630) 686-7255
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1316234446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in IL · 036.161394✔ Licensed in OH · 35142752
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
201 E OGDEN AVE STE 114, Hinsdale, IL 60521

Other Names 1

Other Name (5)Solmaz Niknam Leilabadi Md

Secondary Practice Location 1

Location 1915 Olentangy River RdColumbus, OH 43212-3153 · Phone (614) 293-8566 · Fax (614) 293-3381

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

Solmaz Niknam -bienia 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 ID9436466505
PECOS Enrollment IDI20230120001629
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

5

Medicare enrollment records show Solmaz Niknam -bienia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Plastic Surgery
201 E OGDEN AVE STE 114
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
Internal Medicine
610 S MAPLE AVE, STE 2100
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3050 W 39TH PL
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Family Medicine
701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 281 clinicians in this Medicare group
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 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 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES

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

Plastic Surgery
201 E OGDEN AVE STE 114
HINSDALE, IL 60521

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 Solmaz Niknam -bienia's NPI number?

The NPI number for Solmaz Niknam -bienia is 1316234446. It was assigned to this individual provider in the NPPES registry on July 11, 2011. The provider is also known as Solmaz Niknam Leilabadi MD.

Where is Solmaz Niknam -bienia located?

Solmaz Niknam -bienia practices at 201 E Ogden Ave Ste 114, Hinsdale, IL 60521. The listed phone number is (630) 686-7255.

What is Solmaz Niknam -bienia's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Solmaz Niknam -bienia enrolled in Medicare?

Yes. Solmaz Niknam -bienia 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 Solmaz Niknam -bienia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Solmaz Niknam -bienia reassigns Medicare benefits to 5 organizations: Lielos LLC (Hinsdale, IL), Mount Sinai Community Foundation (Oak Park, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Bonaventure Medical Foundation, LLC (Elk Grove Village, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Solmaz Niknam -bienia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Solmaz Niknam -bienia accept?

Health plans from Oscar Health list Solmaz Niknam -bienia 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 Solmaz Niknam -bienia was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.