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BASHAR ALZAHABI MD
NPI 1467448456
Internal Medicine - Nephrology in Effingham, IL

Active since September 23, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 14D0434767 · Waiver
86.26/100
CMS Quality Rating
900 W TEMPLE AVE, STE 103, EFFINGHAM, IL 62401(515) 964-2772 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bashar Alzahabi Md NPPES

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

BASHAR ALZAHABI MD (NPI 1467448456) is an individual nephrology provider in Effingham, Illinois, licensed in Illinois (036093669) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with St Anthonys Memorial Hospital.

NPPES Registry Identity

NPI1467448456
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBASHAR ALZAHABICredential: MD
Location Address900 W TEMPLE AVE, STE 103Effingham, IL 62401-2186
Mailing Address900 W Temple AveEffingham, IL 62401-2186 · (515) 964-2772
Phone(515) 964-2772
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1467448456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036093669
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036093669 (IL)
900 W TEMPLE AVE, Effingham, IL 62401
Open in Google Maps ↗

Other Identifiers 2

Medicaid371322240001IL
Other371322240IL · Tax Id

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.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

Bashar Alzahabi 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 ID4587618269
PECOS Enrollment IDI20050304000758
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0434767

Bashar Alzahabi MD · Effingham, IL
Active · expires Aug 31, 2026
CLIA Number14D0434767
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBashar Alzahabi MD
Laboratory Phone(217) 347-5000
Laboratory LocationBashar Alzahabi MD900 W Temple Ave Ste 103, Effingham, IL 62401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
987 services444 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.
294 services40 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
177 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services103 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
124 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
102 services102 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.68
Promoting Interoperability100
Improvement Activities40
Cost48.54

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
96%323 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
67%510 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,123 patients4/55-star benchmark: 100%
e-Prescribing
100%241 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
51%324 patients4/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%510 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%508 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers48 claims86 services$4.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers23 claims23 services$0.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims57 services$2.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers45 claims46 services$21.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers91 claims95 services$114.35 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$35.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Durable Medical Equipment & Medical Supplies
900 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 347-1601
DR. YEE-SHENG CHIU M.D.
Ophthalmology
900 W TEMPLE AVE, SUITE 104
EFFINGHAM, IL 62401
Effingham County (217) 347-5525
PAUL D. OLTMAN, M.D., S.C.
Family Medicine
900 W TEMPLE AVE, SUITE 204
EFFINGHAM, IL 62401
Effingham County (217) 347-7776
MS. CHRISTINA PROBST RN
Registered Nurse (Medical-Surgical)
900 W TEMPLE AVE, SUITE 101
EFFINGHAM, IL 62401
Effingham County (217) 347-2500
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Clinic/Center (Federally Qualified Health Center (FQHC))
900 W TEMPLE AVE, SUITE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
KARI FULK RN, BSN
Registered Nurse (Registered Nurse First Assistant)
900 W TEMPLE AVE, SUITE 101
EFFINGHAM, IL 62401
Effingham County (217) 347-2500
JFJ EYECARE LTD
Optometrist
900 W TEMPLE AVE, SUITE 104 & 105
EFFINGHAM, IL 62401
Effingham County (636) 200-4393
DR. KEVIN HSU DPM
Podiatrist (Foot & Ankle Surgery)
900 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-0578

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 Bashar Alzahabi's NPI number?

The NPI number for Bashar Alzahabi is 1467448456. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Bashar Alzahabi located?

Bashar Alzahabi practices at 900 W Temple Ave Ste 103, Effingham, IL 62401. The listed phone number is (515) 964-2772.

What is Bashar Alzahabi's specialty?

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

Is Bashar Alzahabi enrolled in Medicare?

Yes. Bashar Alzahabi 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.

Does Bashar Alzahabi hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0434767) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bashar Alzahabi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Bashar Alzahabi 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 Bashar Alzahabi affiliated with any hospitals?

According to CMS data, Bashar Alzahabi is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Sarah Bush Lincoln Health Center, Fayette County Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Bashar Alzahabi was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.