Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BAHAREH RAVANDI MD
NPI 1629413422
Pediatrics - Pediatric Emergency Medicine in Chicago, IL

Q: What is Bahareh Ravandi's NPI number?

The NPI number for Bahareh Ravandi is 1629413422. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Bahareh Ravandi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Bahareh Ravandi was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since May 07, 2013PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Jun 30, 2016 (2 updates tracked since 2016).

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About Bahareh Ravandi Md NPPES

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

BAHAREH RAVANDI MD (NPI 1629413422) is an individual pediatric emergency medicine provider in Chicago, Illinois, licensed in Illinois (036179700) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1629413422

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameBAHAREH RAVANDICredential: MD

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300, Suite #600Burr Ridge, IL 60527-5965

Phone(888) 824-0200

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013

Enumeration DateMay 7, 2013

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1629413422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in IL · 036179700

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

5841 S MARYLAND AVE, Chicago, IL 60637

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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

Bahareh Ravandi 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 ID8729371679

PECOS Enrollment IDI20160729000792

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.

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.

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