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EDWARD BABIGUMIRA MD
NPI 1801915947
Physical Medicine & Rehabilitation - Pain Medicine in Palatine, IL

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
600 N NORTH CT, 200, PALATINE, IL 60067(847) 496-5419(847) 496-7606 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Jan 17, 2017 (2 updates tracked since 2017).

About Edward Babigumira Md NPPES

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

EDWARD BABIGUMIRA MD (NPI 1801915947) is an individual pain medicine provider in Palatine, Illinois, licensed in Illinois (036.132334) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1801915947
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameEDWARD BABIGUMIRACredential: MD
Location Address600 N NORTH CT, 200Palatine, IL 60067-8155
Mailing Address600 N North Ct, 200Palatine, IL 60067-8155 · (847) 496-5419 · Fax (847) 496-7606
Phone(847) 496-5419
Fax(847) 496-7606
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1801915947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in IL · 036.132334
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
600 N NORTH CT, Palatine, IL 60067
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Other Identifiers 1

Medicaid036132334IL

Accepted Insurance

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

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

Edward Babigumira 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 ID3870694821
PECOS Enrollment IDI20130731000616, I20250908002154
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 9

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 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.
1,782 services388 patients
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.
1,516 services316 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
307 services284 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
272 services253 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
177 services142 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers36 claims36 services$60.41 avg. paid by Medicare
Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
2 suppliers11 claims11 services$14.09 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$34.34 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers49 claims49 services$50.93 avg. paid by Medicare
Residual limb support system for wheelchair, any type E1020
DME-Wheelchairs · category DD021N
2 suppliers16 claims16 services$12.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$87.67 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 7

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

DR. HUGO F. BERTAGNI DDS
Dentist (General Practice)
600 N NORTH CT, SUITE 140
PALATINE, IL 60067
Cook County (847) 991-2680
MICHAEL D. HAYWARD D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
600 N NORTH CT, SUITE 220
PALATINE, IL 60067
Cook County (847) 359-7980
DR. HUGO FRANCIS BERTAGNI DDS
Dentist (General Practice)
600 N NORTH CT, SUITE 140
PALATINE, IL 60067
Cook County (847) 991-2680
TLC SURGERY SUITES LLC
Clinic/Center (Pain)
600 N NORTH CT, STE 110
PALATINE, IL 60067
Cook County (847) 359-9432
DR. CHRISTINE M DUONG M.D.
Pediatrics
600 N NORTH CT, SUITE 115
PALATINE, IL 60067
Cook County (847) 359-5000
IRWIN M SEIDMAN DDS PC
Dentist (Pediatric Dentistry)
600 N NORTH CT
PALATINE, IL 60067
Cook County (847) 991-4663
IRWIN M SEIDMAN D.D.S.
Dentist (Pediatric Dentistry)
600 N NORTH CT, STE 250
PALATINE, IL 60067
Cook County (847) 991-4663

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 Edward Babigumira's NPI number?

The NPI number for Edward Babigumira is 1801915947. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Edward Babigumira located?

Edward Babigumira practices at 600 N North Ct 200, Palatine, IL 60067. The listed phone number is (847) 496-5419.

What is Edward Babigumira's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Edward Babigumira enrolled in Medicare?

Yes. Edward Babigumira 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.

What insurance does Edward Babigumira accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Edward Babigumira 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 Edward Babigumira affiliated with any hospitals?

According to CMS data, Edward Babigumira is affiliated with Cgh Medical Center, Uw Health, Saint Anthony Medical Center, Javon Bea Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Edward Babigumira was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.