HABIB M BILFAQI MD
NPI 1336534874
Emergency Medicine in Avon, IN

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
1111 RONALD REAGAN PKWY, AVON, IN 46123(317) 217-3000 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2025, Mar 3, 2021, Oct 15, 2020 and 2 more (5 updates tracked since 2015).

About Habib M Bilfaqi Md NPPES

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

HABIB M BILFAQI MD (NPI 1336534874) is an individual emergency medicine provider in Avon, Indiana, licensed in Indiana (01080184A) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336534874
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHABIB M BILFAQICredential: MD
Location Address1111 RONALD REAGAN PKWYAvon, IN 46123-7085
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014
Enumeration DateApril 1, 2015
Last NPPES UpdateMay 15, 20255 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1336534874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01080184A
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1111 RONALD REAGAN PKWY, Avon, IN 46123

Secondary Practice Locations 3

Location 14201 Saint Antoine StDetroit, MI 48201-2153 · Phone (313) 993-2530 · Fax (313) 993-7703
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258
Location 313000 E 136th StFishers, IN 46037-9478 · Phone (317) 678-2000

Other Identifiers 4

Medicaid300014968IN
Other000001180081IN · Anthem Ptan
Other000001180129IN · Anthem Ptan
Other000001180111IN · Anthem Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Habib M Bilfaqi 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 ID3577865617
PECOS Enrollment IDI20180629001878
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
251 services247 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
91 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Surgery
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physical Therapist
1111 RONALD REAGAN PKWY, SUITE MG214
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123

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 Habib Bilfaqi's NPI number?

The NPI number for Habib Bilfaqi is 1336534874. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Habib Bilfaqi located?

Habib Bilfaqi practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3000.

What is Habib Bilfaqi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Habib Bilfaqi enrolled in Medicare?

Yes. Habib Bilfaqi 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.

What insurance does Habib Bilfaqi accept?

Health plans from CareSource list Habib Bilfaqi 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 Habib Bilfaqi affiliated with any hospitals?

According to CMS data, Habib Bilfaqi is affiliated with Indiana University Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Habib Bilfaqi was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.