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DR. ZAHIDA MUGHAL M.D.
NPI 1427085000
Obstetrics & Gynecology in Chicago, IL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1029 E 130TH ST, CHICAGO, IL 60628(773) 995-6300 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2021, Jan 8, 2021 (2 updates tracked since 2021).

About Dr. Zahida Mughal M.d. NPPES

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

DR. ZAHIDA MUGHAL M.D. (NPI 1427085000) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036090385) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1427085000
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ZAHIDA MUGHALCredential: M.D.
Location Address1029 E 130TH STChicago, IL 60628-6908
Mailing Address1029 E 130th StChicago, IL 60628-6908 · (773) 995-6300
Phone(773) 995-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1427085000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036090385
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1029 E 130TH ST, Chicago, IL 60628
Open in Google Maps ↗

Other Identifiers 1

Medicaid036090385IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Premera Blue Cross Blue Shield of Alaska.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

Dr. Zahida Mughal 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 ID7719879311
PECOS Enrollment IDI20040329000172
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

2

Medicare enrollment records show Zahida Mughal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tca Health Inc Nfp
Same address
Federally Qualified Health Center (FQHC)
1029 E 130TH ST
Chicago, IL 60628
  • Reassigned Medicare billing, Illinois enrollment
  • 36 clinicians in this Medicare group
NPI 1184757353 (773) 995-6300
Genesis Health System
154 mi
Anatomic Pathology & Clinical Pathology
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
NPI 1295196798 (563) 355-9200

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 60628 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Reported Quality Measures

Breast Cancer Screening
57%47 patients3/55-star benchmark: 93%
Cervical Cancer Screening
73%358 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
35%284 patients
Closing the Referral Loop: Receipt of Specialist Report
10%118 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
46%65 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
61%31 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
17%24 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%24 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%825 patients3/55-star benchmark: 100%
HIV Screening
84%485 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
60%335 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
79%440 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%630 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 365 patients
Patients screened: 92% · 365 patients
98%64 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
58%33 patients2/55-star benchmark: 91%
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.

YUSRA MOURSY
Internal Medicine
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TAMMIE SILAS FNP
Nurse Practitioner (Family)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
MS. SARAH ANN MANAHER LCSW
Social Worker (Clinical)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (305) 747-2932
DR. MATTHIS MURRIETTA GUTTIERREZ MD,MHSA,BSN
Clinic/Center (Community Health)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TCA HEALTH INC NFP
Clinic/Center (Federally Qualified Health Center (FQHC))
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TANISHA L. WINSTON FNP
Nurse Practitioner (Family)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
DR. ALY GAMEE DMD
Dentist
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 846-3000
7739956300
Social Worker (Clinical)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300

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 Zahida Mughal's NPI number?

The NPI number for Zahida Mughal is 1427085000. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Zahida Mughal located?

Zahida Mughal practices at 1029 E 130th St, Chicago, IL 60628. The listed phone number is (773) 995-6300.

What is Zahida Mughal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Zahida Mughal enrolled in Medicare?

Yes. Zahida Mughal 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 Zahida Mughal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zahida Mughal reassigns Medicare benefits to 2 organizations: Tca Health Inc Nfp (Chicago, IL) and Genesis Health System (Davenport, IA). 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 Zahida Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zahida Mughal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Premera Blue Cross Blue Shield of Alaska list Zahida Mughal 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 Zahida Mughal was last updated on February 12, 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.