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DR. RYAN PAUL BAGCAL URBI M.D.
NPI 1801258868
Family Medicine in Chicago, IL

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7400 W ADDISON ST, CHICAGO, IL 60634(773) 625-1900 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2019, Mar 28, 2016 (2 updates tracked since 2016).

About Dr. Ryan Paul Bagcal Urbi M.d. NPPES

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

DR. RYAN PAUL BAGCAL URBI M.D. (NPI 1801258868) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036175353) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1801258868
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RYAN PAUL BAGCAL URBICredential: M.D.
Location Address7400 W ADDISON STChicago, IL 60634-3418
Mailing Address433 Gilbert DrWood Dale, IL 60191-1942 · (808) 729-7668
Phone(773) 625-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2016
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1801258868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036175353✔ Licensed in TX · S3329
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7400 W ADDISON ST, Chicago, IL 60634
Open in Google Maps ↗

Secondary Practice Location 1

Location 18539 Gulf FwyHouston, TX 77017-5055 · Phone (210) 358-3931

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Ryan Paul Bagcal Urbi 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 ID2062705528
PECOS Enrollment IDI20191022000540, I20251010000269
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

4

Medicare enrollment records show Ryan Paul Urbi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addison Family Medicine Ltd.
Same address
Family Medicine
7400 W ADDISON ST
Chicago, IL 60634
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1689551467 (773) 625-1900
Primecare Family Physicians, Ltd
Same address
Family Medicine
7400 W ADDISON ST
Chicago, IL 60634
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1639204472 (773) 625-1900
Vip Health Services, LLC.
917 mi
Urgent Care
2601 W LAKE HOUSTON PKWY
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1144588740 (281) 360-7502
Baylor College Of Medicine
944 mi
Family Medicine
1504 TAUB LOOP
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1053352914 (713) 873-2000

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
128 services15 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
52 services13 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.
48 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services20 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook 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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60634 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.

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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

DR. PURCHIT V LACUESTA M.D.
Family Medicine
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900
DR. EFTHYMIA P PAPANASTASSIOU M.D.
Family Medicine
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900
PRIMECARE FAMILY PHYSICIANS, LTD
Family Medicine
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900
ADDISON FAMILY MEDICINE LTD.
Family Medicine
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900
CAMILLE DENAY LOVE FNP
Nurse Practitioner (Family)
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900
DR. PETER A CALABRESE D.O.
Family Medicine
7400 W ADDISON ST
CHICAGO, IL 60634
Cook County (773) 625-1900

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 Ryan Paul Urbi's NPI number?

The NPI number for Ryan Paul Urbi is 1801258868. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Ryan Paul Urbi located?

Ryan Paul Urbi practices at 7400 W Addison St, Chicago, IL 60634. The listed phone number is (773) 625-1900.

What is Ryan Paul Urbi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Paul Urbi enrolled in Medicare?

Yes. Ryan Paul Urbi 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 Ryan Paul Urbi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Paul Urbi reassigns Medicare benefits to 4 organizations: Addison Family Medicine Ltd. (Chicago, IL), Primecare Family Physicians, Ltd (Chicago, IL), Vip Health Services, LLC. (Kingwood, TX) and Baylor College Of Medicine (Houston, TX). 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 Ryan Paul Urbi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Paul Urbi accept?

Health plans from Blue Cross and Blue Shield of Texas list Ryan Paul Urbi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Paul Urbi affiliated with any hospitals?

According to CMS data, Ryan Paul Urbi is affiliated with Amita Health Resurrection Medical Center, Northwestern Medicine Central Dupage Hospital and Harris Health System.

When was this NPI record last updated?

The NPPES record for Ryan Paul Urbi was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.