AJAY BADDI M.D. NPI 1831145804

Internal Medicine - Cardiovascular Disease in Chicago, IL

Individual Male Years of Experience 28 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

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 28 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 1995. The NPI number of Ajay Baddi is 1831145804 and was 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 11 years ago.

An internist like Ajay Baddi M.d. 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.

NPI

1831145804

Provider Name AJAY BADDI M.D.
Provider Location Address3118 N ASHLAND AVE CHICAGO, IL 60657
Provider Mailing Address3118 N ASHLAND AVE CHICAGO, IL 60657
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date05-25-2006
Last Update Date06-28-2011



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 Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare 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 $19.58 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.036097688
License StateIL
Taxonomy DescriptionAn 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.

Business Address

AJAY BADDI M.D.
3118 N ASHLAND AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 880-9722
Fax: (773) 880-9723

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Mailing Address

AJAY BADDI M.D.
3118 N ASHLAND AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 880-9722
Fax: (773) 880-9723


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6103727458
PECOS Enrollment IDI20040119000581
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. 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: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.29 $155.26 $78.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $38.81 $19.58

* The physician office visit costs information is obtained by Medicare's 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 Medicare specialty, excluding evaluation and management codes.

  • 1173Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 274Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 108Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 70Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 56Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 37Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 23Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 CENTER836 WEST WELLINGTON AVENUE
CHICAGO, IL 60657
(773) 975-1600Acute Care Hospitals140182

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487951711OTHER (01)ILNPI GROUP PRACTICE
1602375OTHER (01)ILBSBC
IL5276MEDICARE PIN (08)IL

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.
1831145804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861241080
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 = 44

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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316998578WEST SUBURBAN CARDIOLOGISTS, LTD.
Organization
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1972550846DR. CESAR J HERRERA M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1821036047DR. PETER J STECY M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1003007170DR. SORIN C DANCIU M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1487951711ADVOCATE HEALTH AND HOSPITALS CORP.
Organization
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1376819730 LISA ZULL ANP-BC
Individual
Nurse Practitioner (Adult Health)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 537-0077
1609173426 ALLAN JULIAN BEALL SACASA M.D.
Individual
Internal Medicine (Interventional Cardiology)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1992723589DR. SAURABH SHAH M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ajay Baddi M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.