AJAY BADDI M.D. NPI 1831145804
Internal Medicine - Cardiovascular Disease in Chicago, IL
About AJAY BADDI M.D.
Ajay Baddi is an internist established in Chicago, Illinois and his medical specialization is Internal Medicine with a focus in cardiovascular disease with more than 29 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1831145804 assigned on May 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036097688 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1831145804 |
| Provider Name | AJAY BADDI M.D. |
| Location Address | 3134 N CLARK ST CHICAGO, IL 60657 |
| Location Phone | (773) 880-9722 |
| Mailing Address | 29373 NETWORK PL CHICAGO, IL 60673 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-25-2006 |
| Last Update Date | 09-27-2022 |
An internist like Ajay Baddi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Ajay Baddi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Ajay Baddi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to claims data he has hospital affiliations with Advocate Illinois Masonic Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.21 for a new patient copayment and $27.76 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RC0000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Cardiovascular Disease |
| License No. | 036097688 |
| License State | IL |
| Taxonomy Description | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3134 N CLARK ST
CHICAGO, IL
ZIP 60657
Phone: (773) 880-9722
Fax: (312) 766-4917
Mailing Address
29373 NETWORK PL
CHICAGO, IL
ZIP 60673
Phone: (847) 390-5900
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6103727458 |
| PECOS Enrollment ID | I20040119000581 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount, beneficiaries under these health plans should not be billed for more than the approved deductible and coinsurance amounts. The tables below display the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60657 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $63 | $191.32 | $144.84 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.75 | $47.83 | $36.21 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.29 | $155.26 | $111.04 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.82 | $38.81 | $27.76 |
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 148Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
- 141Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- 94Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
- 39Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
- 24Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 13Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
- 11Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ajay Baddi is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | 836 WEST WELLINGTON AVENUE CHICAGO, IL 60657 | (773) 975-1600 | Acute Care Hospitals | 140182 |
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1602375 | OTHER (01) | IL | BSBC |
| 1487951711 | OTHER (01) | IL | NPI GROUP PRACTICE |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 3 | 1 | 1 | 4 | 5 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 4 | 10 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 4 + 1 + 0 + 8 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1831145804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760742118 | DR. JENNY KATHERINE UKENA M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3134 N CLARK ST CHICAGO, IL 60657 (773) 296-5090 |
| 1881083327 | CATHERINE JEAN PHILLIPS FNP Individual | Nurse Practitioner (Family) | 3134 N CLARK ST CHICAGO, IL 60657 (773) 296-7032 |
| 1780186858 | EMANUEL DAVID RIVAS CHACON MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1346827060 | DR. MAHEEN FATIMA RAHMAN MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1710564323 | CESAR JOSE OROPEZA MOTA MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1437737996 | AMNA MAQSOOD ALI MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1013595289 | ESTEBAN MIRANDA MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1124680939 | DR. RIYA MARY SAM MD Individual | Internal Medicine | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1881213791 | IZZA SAEED M.D. Individual | Internal Medicine | 3134 N CLARK ST CHICAGO, IL 60657 (773) 766-4949 |
| 1356921373 | ISIMENMEN TIWALOLA OKEKUMATA MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1184170037 | ELSY COMPRES MD Individual | Internal Medicine | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1508351180 | DR. POOJA MISHRA MD Individual | Internal Medicine (Cardiovascular Disease) | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1518544188 | MARIA ALEJANDRA MASSEY MD Individual | Internal Medicine | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1013680933 | PEDRO ANDRES GONZALEZ MARTINEZ MD Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1336716281 | OSCAR ANTONIO SUCRE ASTORGA M.D Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1407422629 | MUHAMMAD AHMAD M.D. Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (773) 296-5944 |
| 1053986760 | MR. KIRAN SURESH NAIR M.D. Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1861160749 | RUA ISAMELDIN BAKHIET MOHAMED Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1548836521 | MR. HAMZA ISHFAQ M.D Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
| 1992367676 | DR. ABHINAV KUMAR VULISHA Individual | Student in an Organized Health Care Education/Training Program | 3134 N CLARK ST CHICAGO, IL 60657 (312) 766-4949 |
Frequently Asked Questions
What is Ajay Baddi M.D. NPI number?
The NPI number assigned to this healthcare provider is 1831145804, enumerated in the NPI registry as an "individual" on May 25, 2006
Where is the provider located?
The provider is located at 3134 N Clark St Chicago, Il 60657 and the phone number is (773) 880-9722
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
How many years of experience does Ajay Baddi M.D. have?
The provider has more than 29 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 1995.
What insurance does Ajay Baddi M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Ajay Baddi M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Ajay Baddi M.D.?
Medicare beneficiaries should expect a typical cost of $144.84 with an average copayment of $36.21 for new patient appointments. Established patients should expect a typical charge of $111.04 and an average copayment of 27.76. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Ajay Baddi M.D.?
The most common procedures or services performed by this practitioner are: Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Routine ekg using at least 12 leads including interpretation and report, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies, Ultrasound study of arteries and arterial grafts of both legs and Insertion of needle into vein for collection of blood sample.
Is Ajay Baddi M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: ADVOCATE ILLINOIS MASONIC MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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