DR. ANJAN TIBREWALA M.D.
NPI 1730474685
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Chicago, IL

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2019, Jun 29, 2017, Feb 1, 2017 (3 updates tracked since 2017).

About Dr. Anjan Tibrewala M.d. NPPES

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

DR. ANJAN TIBREWALA M.D. (NPI 1730474685) is an individual advanced heart failure and transplant cardiology provider in Chicago, Illinois, licensed in Illinois (036134900) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Rush Medical College Of Rush University (2011).

NPPES Registry Identity

NPI1730474685
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. ANJAN TIBREWALACredential: M.D.
Location Address259 E ERIE STChicago, IL 60611-2987
Mailing Address676 N Saint Clair St, Suite 600Chicago, IL 60611-2927
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2011
Enumeration DateJune 17, 2011
Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration
NPI 1730474685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in IL · 036134900
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011017889 (MO), 036134900 (IL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036134900 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036134900 (IL)
259 E ERIE ST, Chicago, IL 60611

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

Dr. Anjan Tibrewala 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 ID4385880327
PECOS Enrollment IDI20140718001356
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.

Areas of Expertise CMS Part B claims 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
246 services102 patients
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.
196 services168 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.
167 services127 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
160 services73 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
153 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
130 services125 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers46 claims3,283 services$0.28 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims1,260 services$0.17 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers11 claims284 services$2.43 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers32 claims32 services$18.30 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers45 claims49 services$12.06 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 20

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

Internal Medicine
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Orthopaedic Surgery (Sports Medicine)
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Nurse Practitioner (Family)
259 E ERIE ST
CHICAGO, IL 60611
Internal Medicine
259 E ERIE ST, STE 2230
CHICAGO, IL 60611
Podiatrist
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Nurse Practitioner (Gerontology)
259 E ERIE ST
CHICAGO, IL 60611

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 Anjan Tibrewala's NPI number?

The NPI number for Anjan Tibrewala is 1730474685. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Anjan Tibrewala located?

Anjan Tibrewala practices at 259 E Erie St, Chicago, IL 60611. The listed phone number is (312) 926-2000.

What is Anjan Tibrewala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Anjan Tibrewala enrolled in Medicare?

Yes. Anjan Tibrewala 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.

Is Anjan Tibrewala affiliated with any hospitals?

According to CMS data, Anjan Tibrewala is affiliated with Palos Community Hospital, Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anjan Tibrewala was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.