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DR. NINA MBADIWE M.D.
NPI 1740625052
Pediatrics - Pediatric Emergency Medicine in Oak Lawn, IL

Active since May 01, 2013PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(773) 702-9087(773) 702-0666 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2022, May 11, 2022, Jun 14, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Nina Mbadiwe M.d. NPPES

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

DR. NINA MBADIWE M.D. (NPI 1740625052) is an individual pediatric emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036141021) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740625052
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. NINA MBADIWECredential: M.D.
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(773) 702-9087
Fax(773) 702-0666
Sole ProprietorNo
Enumeration DateMay 1, 2013
Last NPPES UpdateJuly 12, 20224 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1740625052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in IL · 036141021
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4440 W 95TH ST, Oak Lawn, IL 60453
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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 (PECOS)

Dr. Nina Mbadiwe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nina Mbadiwe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois
4.5 mi
Federally Qualified Health Center (FQHC)
8131 S MAY ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1952713323 (312) 996-4656
The University Of Chicago Medical Center
8.1 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
8.1 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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

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.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Nina Mbadiwe's NPI number?

The NPI number for Nina Mbadiwe is 1740625052. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Nina Mbadiwe located?

Nina Mbadiwe practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (773) 702-9087.

What is Nina Mbadiwe's specialty?

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

Is Nina Mbadiwe enrolled in Medicare?

Yes. Nina Mbadiwe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nina Mbadiwe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Mbadiwe reassigns Medicare benefits to 3 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, 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 Nina Mbadiwe'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 Nina Mbadiwe was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.