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NIKOLA K PUFFINBARGER MD
NPI 1821066176
Surgery - Pediatric Surgery in Chicago, IL

Active since March 11, 2006PECOS Enrolled
71.66/100
CMS Quality Rating
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Nov 13, 2024 (2 updates tracked since 2024).

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

NPI1821066176
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameNIKOLA K PUFFINBARGERCredential: MD
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(888) 824-0200
Sole ProprietorNo
Enumeration DateMarch 11, 2006
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1821066176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in IL · 036172443
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 18029 (OK)
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Secondary Practice Location 1

Location 14440 W 95th St Ste 1332HOak Lawn, IL 60453-2600 · Phone (708) 684-5437 · Fax (708) 684-4808

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikola K Puffinbarger Md 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 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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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.

What insurance does Nikola Puffinbarger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Medica and 3 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 16 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.