MR. RUSTAM SAFAROV FNP
NPI 1770147480
Nurse Practitioner in Wheeling, IL

Q: What is Rustam Safarov's NPI number?

The NPI number for Rustam Safarov is 1770147480. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Q: What is Rustam Safarov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rustam Safarov was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 28, 2019PECOS EnrolledAccepts Medicare Assignment

10 N MILWAUKEE AVE, WHEELING, IL 60090(800) 323-8622 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, May 3, 2022, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

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About Mr. Rustam Safarov Fnp NPPES

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

MR. RUSTAM SAFAROV FNP (NPI 1770147480) is an individual nurse practitioner in Wheeling, Illinois, licensed in Illinois (209.019746) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vernon Hills, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770147480

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. RUSTAM SAFAROVCredential: FNP

Location Address10 N MILWAUKEE AVEWheeling, IL 60090-3012

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(800) 323-8622

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 28, 2019

Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1770147480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.019746

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F03190845 (IL)

10 N MILWAUKEE AVE, Wheeling, IL 60090

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Secondary Practice Location 1

Location 16 E Phillip RdVernon Hills, IL 60061-1700 · Phone (847) 680-0500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Rustam Safarov Fnp 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 ID6406187400

PECOS Enrollment IDI20191004002450

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

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

Lutheran General Hospital

7.7 mi

Cardiovascular Disease

1775 DEMPSTER ST
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1801809306 (847) 723-2210

Stat Medical Practices Inc

9.0 mi

Internal Medicine

1345 WILEY RD STE 111
Schaumburg, IL 60173

Reassigned Medicare billing, Illinois enrollment
14 clinicians in this Medicare group

NPI 1174490023 (847) 490-0060

Stat Cardiologist Inc

9.1 mi

Cardiovascular Disease

1345 WILEY RD STE 111
Schaumburg, IL 60173

Reassigned Medicare billing, Illinois enrollment
37 clinicians in this Medicare group

NPI 1528596350 (847) 490-0060

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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

210 services25 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.

135 services133 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

43 services43 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.

37 services36 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60090 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 6

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

PHYLLIS ZINDELL RPH

Pharmacist