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IFATH G BASHIRUDDIN M.D.
NPI 1417060534
Internal Medicine - Nephrology in Belleville, IL

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
78.42/100
CMS Quality Rating
4550 MEMORIAL DR, SUITE 360, BELLEVILLE, IL 62226(618) 239-9500(618) 239-9555 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ifath G Bashiruddin M.d. NPPES

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

IFATH G BASHIRUDDIN M.D. (NPI 1417060534) is an individual nephrology provider in Belleville, Illinois, licensed in Illinois (036085731) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1417060534
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameIFATH G BASHIRUDDINCredential: M.D.
Location Address4550 MEMORIAL DR, SUITE 360Belleville, IL 62226-5359
Mailing Address7 Beaver Creek CtSaint Charles, MO 63303-5497 · (618) 239-9500 · Fax (618) 239-9555
Phone(618) 239-9500
Fax(618) 239-9555
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 31, 2012
✔ NPI 1417060534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036085731
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4550 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Other Identifiers 7

Medicare ID-Type Unspecified337510IL
Medicare PIN211925002
Medicare PINDG1905
Other390007921IL · Railroad Medicare
Medicare UPINC75993IL
Medicaid036085731IL
Medicare PINP00687628

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Ifath G Bashiruddin M.d. 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 ID5799872016
PECOS Enrollment IDI20071102000715
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 10

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.

Follow-up hospital inpatient care per day, typically 25 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.
369 services121 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
179 services56 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
149 services56 patients
Follow-up hospital inpatient care per day, typically 15 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.
109 services47 patients
Initial hospital inpatient care per day, typically 50 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.
108 services85 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services44 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

78.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.53
Improvement Activities40
Cost46.02

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%32 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
53%150 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
82%61 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%470 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%132 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%191 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%188 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
75%20 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 156 patients
Patients screened: 91% · 156 patients
14%21 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 141 patients
Patients totalRate: 0% · 141 patients
0%141 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 20

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

MARK A DEEMER ATH TR
Specialist/Technologist (Athletic Trainer)
4550 MEMORIAL DR, SUITE G-100
BELLEVILLE, IL 62226
St. Clair County (618) 236-2246
DR. DWIGHT WILLIAM O'DELL M.D.
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226
St. Clair County (618) 233-5998
DWIGHT O'DELL, M.D., LTD.
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, SUITE 200
BELLEVILLE, IL 62226
St. Clair County (618) 233-5998
BELLEVILLE ORTHOPEDICS, P.C.
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
St. Clair County (618) 235-2900
TIFFANY ELIZABETH CLIFTON OTR L
Occupational Therapist
4550 MEMORIAL DR, MEDICAL BUILDING #1 STE 470
BELLEVILLE, IL 62226
St. Clair County (618) 257-5249
IFATH G. BASHIRUDDIN M.D.S.C.
Specialist
4550 MEMORIAL DR, SUITE 410
BELLEVILLE, IL 62226
St. Clair County (618) 234-8246
JANIS TAAKE RD, LD
Dietitian, Registered
4550 MEMORIAL DR, MEDICAL OFFICE BUILDING ONE SUITE 360
BELLEVILLE, IL 62226
St. Clair County (618) 239-9500
BELLEVILLE ORTHOPEDIC SURGEONS LTD
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
St. Clair County (618) 235-2900

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 Ifath Bashiruddin's NPI number?

The NPI number for Ifath Bashiruddin is 1417060534. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Ifath Bashiruddin located?

Ifath Bashiruddin practices at 4550 Memorial Dr Suite 360, Belleville, IL 62226. The listed phone number is (618) 239-9500.

What is Ifath Bashiruddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ifath Bashiruddin enrolled in Medicare?

Yes. Ifath Bashiruddin 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 Ifath Bashiruddin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Ifath Bashiruddin 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 Ifath Bashiruddin affiliated with any hospitals?

According to CMS data, Ifath Bashiruddin is affiliated with St Josephs Hospital, Memorial Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Ifath Bashiruddin was last updated on January 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.