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LOUBABATOU BOUZOU PA-C
NPI 1821495276
Physician Assistant - Surgical in Skokie, IL

Active since December 01, 2014PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9600 GROSS POINT RD, SKOKIE, IL 60076(847) 933-6550(847) 933-6260 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 23, 2026, Nov 12, 2019, Nov 23, 2016 (3 updates tracked since 2016).

About Loubabatou Bouzou Pa-c NPPES

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

LOUBABATOU BOUZOU PA-C (NPI 1821495276) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085005045) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1821495276
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLOUBABATOU BOUZOUCredential: PA-C
Location Address9600 GROSS POINT RDSkokie, IL 60076-1214
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315
Phone(847) 933-6550
Fax(847) 933-6260
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 1, 2014
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1821495276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085005045
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085005045 (IL)
9600 GROSS POINT RD, Skokie, IL 60076
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 3rd Ave SWMinot, ND 58701-3880 · Phone (701) 857-5500 · Fax (701) 839-3694
Location 2920 Milwaukee AveLincolnshire, IL 60069 · Phone (847) 866-7846 · Fax (866) 954-5815

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

Loubabatou Bouzou Pa-c 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 ID4385968973
PECOS Enrollment IDI20191119001525
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

KATIE KONSTANT PT
Physical Therapist
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-3800
MS. ARIANA JONES READY PA-C
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-6550
LEONID LISHANSKIY
Anesthesiology
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-6909
DR. KAYLA MATTHEWS PT
Physical Therapist
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-3800
CHASE ANDREW HALL PA-C
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 677-9600
MS. JANE K KEANE APN, CNP
Nurse Practitioner (Occupational Health)
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-6207
CAITLIN MARIE KELLY PA-C
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-6550
CHINNU VARKEY APN
Nurse Practitioner (Family)
9600 GROSS POINT RD
SKOKIE, IL 60076
Cook County (847) 933-6550

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 Loubabatou Bouzou's NPI number?

The NPI number for Loubabatou Bouzou is 1821495276. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Loubabatou Bouzou located?

Loubabatou Bouzou practices at 9600 Gross Point Rd, Skokie, IL 60076. The listed phone number is (847) 933-6550.

What is Loubabatou Bouzou's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Loubabatou Bouzou enrolled in Medicare?

Yes. Loubabatou Bouzou 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.

When was this NPI record last updated?

The NPPES record for Loubabatou Bouzou was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.