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BAKIR DZANANOVIC DO
NPI 1508560657
Family Medicine - Sports Medicine in Park Ridge, IL

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-6020 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Jun 14, 2023, Mar 31, 2023 (3 updates tracked since 2023).

About Bakir Dzananovic Do NPPES

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

BAKIR DZANANOVIC DO (NPI 1508560657) is an individual sports medicine provider in Park Ridge, Illinois, licensed in Illinois (036.177002) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508560657
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBAKIR DZANANOVICCredential: DO
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address1775 Ballard RdPark Ridge, IL 60068-1005 · (847) 318-2710 · Fax (847) 318-2917
Phone(847) 318-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 30, 2023
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1508560657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 036.177002
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1775 BALLARD RD, Park Ridge, IL 60068
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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

Bakir Dzananovic Do 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 ID2769954288
PECOS Enrollment IDI20260616002879
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 Reassignment

Medicare enrollment records show Bakir Dzananovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Home Physicians, LLC
15 mi
Physical Medicine & Rehabilitation
1S450 SUMMIT AVE STE 165
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 97 clinicians in this Medicare group
NPI 1568909505 (630) 320-6871

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 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

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 Bakir Dzananovic's NPI number?

The NPI number for Bakir Dzananovic is 1508560657. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Bakir Dzananovic located?

Bakir Dzananovic practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-6020.

What is Bakir Dzananovic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Bakir Dzananovic enrolled in Medicare?

Yes. Bakir Dzananovic 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 organization bills Medicare for Bakir Dzananovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bakir Dzananovic reassigns Medicare benefits to Community Home Physicians, LLC (Oakbrook Terrace, IL). The 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 Bakir Dzananovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bakir Dzananovic was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.