SHAGHAYEGH ESFANDNIA MD
NPI 1912550237
Family Medicine in Roscoe, IL
About Shaghayegh Esfandnia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAGHAYEGH ESFANDNIA MD (NPI 1912550237) is an individual family medicine provider in Roscoe, Illinois, licensed in Illinois (036-159189) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Shaghayegh Esfandnia Md 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uw Health
Acute Care Hospitals · Rockford, ILUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shaghayegh Esfandnia's NPI number?
The NPI number for Shaghayegh Esfandnia is 1912550237. It was assigned to this individual provider in the NPPES registry on July 17, 2019.
Where is Shaghayegh Esfandnia located?
Shaghayegh Esfandnia practices at 4282 E Rockton Rd, Roscoe, IL 61073. The listed phone number is (779) 696-9000.
What is Shaghayegh Esfandnia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shaghayegh Esfandnia enrolled in Medicare?
Yes. Shaghayegh Esfandnia 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.
What insurance does Shaghayegh Esfandnia accept?
Health plans from Quartz list Shaghayegh Esfandnia 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.
Is Shaghayegh Esfandnia affiliated with any hospitals?
According to CMS data, Shaghayegh Esfandnia is affiliated with Uw Health and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Shaghayegh Esfandnia was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.