NIKOLA K PUFFINBARGER MD
NPI 1821066176
Surgery - Pediatric Surgery in Chicago, IL
About Nikola K Puffinbarger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKOLA K PUFFINBARGER MD (NPI 1821066176) is an individual pediatric surgery provider in Chicago, Illinois, licensed in Illinois (036172443) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Lawn.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikola K Puffinbarger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Nikola Puffinbarger reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Wichita, KS 67220
- Reassigned Medicare billing, Kansas enrollment
- 136 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CHICAGO, IL 60637
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 Nikola Puffinbarger's NPI number?
The NPI number for Nikola Puffinbarger is 1821066176. It was assigned to this individual provider in the NPPES registry on March 11, 2006.
Where is Nikola Puffinbarger located?
Nikola Puffinbarger practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.
What is Nikola Puffinbarger's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Nikola Puffinbarger enrolled in Medicare?
Yes. Nikola Puffinbarger is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nikola Puffinbarger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikola Puffinbarger reassigns Medicare benefits to 6 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL), Wesley Physicians Medical Specialties LLC (Wichita, KS), Integris Ambulatory Care Corporation (Oklahoma City, OK), Ou Health Partners, Inc (Oklahoma City, OK) and 1 more organization, listed in the Medicare section above. 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 Nikola Puffinbarger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nikola Puffinbarger accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, CommunityCare, Mending Health and Mountain Health CO-OP and 2 other insurers list Nikola Puffinbarger 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.
When was this NPI record last updated?
The NPPES record for Nikola Puffinbarger was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Nikola K Puffinbarger, MD · NPI 1821066176
Pediatric Surgery physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 11, 2006.
## Identity
- **NPI:** 1821066176 (Entity type: Individual)
- **Enumerated:** March 11, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 036172443 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1443
- **Phone:** (888) 824-0200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL); Wesley Physicians Medical Specialties LLC (NPI 1699069732, Wichita, KS); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1821066176) · Data from the CMS NPPES public registry.