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MR. MUNIB S MAFAZY APRN
NPI 1588859169
Nurse Practitioner - Family in Bloomington, IL

Active since September 07, 2007PECOS EnrolledAccepts Medicare Assignment
2204 EASTLAND DR, BLOOMINGTON, IL 61704(309) 661-6900 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Munib S Mafazy Aprn NPPES

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

MR. MUNIB S MAFAZY APRN (NPI 1588859169) is an individual family provider in Bloomington, Illinois, licensed in Illinois (277000805) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588859169
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MUNIB S MAFAZYCredential: APRN
Location Address2204 EASTLAND DRBloomington, IL 61704-3566
Mailing Address611 W Park, FapcUrbana, IL 61801 · (217) 902-6954 · Fax (217) 902-7711
Phone(309) 661-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 7, 2007
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1588859169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277000805
2204 EASTLAND DR, Bloomington, IL 61704
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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

Mr. Munib S Mafazy Aprn 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 ID2860562261
PECOS Enrollment IDI20080528000124
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

3

Medicare enrollment records show Munib Mafazy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corp.
2.5 mi
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1831420520 (309) 454-1400
Carle West Physician Group Inc
2.6 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
46 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
162 services140 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.
109 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
87 services85 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$34.39 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$18.66 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims95 services$2.29 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers32 claims32 services$14.72 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers29 claims29 services$39.20 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 9

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

EDWARD W PEGG III MD
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. EDWARD W PEGG IV M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. FANG LI M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
SLEEP CENTER OF CENTRAL ILLINOIS LLC
Clinic/Center (Sleep Disorder Diagnostic)
2204 EASTLAND DR, SUITE 100
BLOOMINGTON, IL 61704
McLean County (309) 662-1558
MCLEAN COUNTY NEUROLOGY SC
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
DR. CURTIS J. HAYDEN M.D.
Specialist
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
ELIZABETH ARDITH WILSON PA-C
Physician Assistant
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. HERMAN JUSTIS DICK JR. M.D.
Specialist
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461

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 Munib Mafazy's NPI number?

The NPI number for Munib Mafazy is 1588859169. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Munib Mafazy located?

Munib Mafazy practices at 2204 Eastland Dr, Bloomington, IL 61704. The listed phone number is (309) 661-6900.

What is Munib Mafazy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Munib Mafazy enrolled in Medicare?

Yes. Munib Mafazy 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 Munib Mafazy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Munib Mafazy reassigns Medicare benefits to 3 organizations: Advocate Health And Hospitals Corp. (Normal, IL), Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). 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 Munib Mafazy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Munib Mafazy affiliated with any hospitals?

According to CMS data, Munib Mafazy is affiliated with Carle Bromenn Medical Center, Saint James Hospital, St Joseph Medical Center and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for Munib Mafazy was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.