SAFIA KHAN MUJTABA PMHNP
NPI 1922876309
Nurse Practitioner - Psychiatric/Mental Health in Northbrook, IL
About Safia Khan Mujtaba Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAFIA KHAN MUJTABA PMHNP (NPI 1922876309) is an individual psychiatric/mental health provider in Northbrook, Illinois, licensed in Illinois (209.029049) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Brook, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Safia Khan Mujtaba Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Safia Mujtaba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
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 Safia Mujtaba's NPI number?
The NPI number for Safia Mujtaba is 1922876309. It was assigned to this individual provider in the NPPES registry on December 15, 2023. The provider is also known as Safia Khan.
Where is Safia Mujtaba located?
Safia Mujtaba practices at 4201 Lake Cook Rd Ste 200, Northbrook, IL 60062. The listed phone number is (847) 565-8999.
What is Safia Mujtaba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Safia Mujtaba enrolled in Medicare?
Yes. Safia Mujtaba 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.
Which organization bills Medicare for Safia Mujtaba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Safia Mujtaba reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Safia Mujtaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Safia Mujtaba accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health, Quartz and UnitedHealthcare list Safia Mujtaba 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 Safia Mujtaba was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Safia Khan Mujtaba, PMHNP · NPI 1922876309
Psychiatric/Mental Health physician in Northbrook, Illinois. Individual provider, active in the CMS NPPES registry since December 15, 2023.
## Identity
- **NPI:** 1922876309 (Entity type: Individual)
- **Enumerated:** December 15, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209.029049 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4201 LAKE COOK RD STE 200, Northbrook, IL 60062-1060
- **Phone:** (847) 565-8999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922876309) · Data from the CMS NPPES public registry.