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BASIRAT ROMOKE BALE APN, DNP
NPI 1962945261
Nurse Practitioner in Chicago, IL

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 834-4946(773) 834-2058 Get Directions Write a Review

NPPES record last updated: July 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2020, Nov 18, 2016 (2 updates tracked since 2016).

About Basirat Romoke Bale Apn, Dnp NPPES

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

BASIRAT ROMOKE BALE APN, DNP (NPI 1962945261) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209014251) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Lawn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962945261
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBASIRAT ROMOKE BALECredential: APN, DNP
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address9745 S Karlov Ave, Apt. 203Oak Lawn, IL 60453-3389 · (708) 299-3064
Phone(773) 834-4946
Fax(773) 834-2058
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 18, 2016
Last NPPES UpdateJuly 3, 20202 updates tracked since enumeration
NPPES CertifiedJuly 3, 2020
✔ NPI 1962945261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209014251
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5841 S MARYLAND AVE, Chicago, IL 60637
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Secondary Practice Location 1

Location 19745 S Karlov Ave, APT. 203Oak Lawn, IL 60453-3389 · Phone (708) 299-3064

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

Basirat Romoke Bale Apn, Dnp 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 ID2365867249
PECOS Enrollment IDI20200810001735
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 Billing Reassignments

2

Medicare enrollment records show Basirat Bale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ih Physician Services, PC
32 mi
Hospice and Palliative Medicine
1110 W LAKE COOK RD STE 130A
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1790566206 (704) 664-2876
Ih Physician Services, PC
32 mi
Hospice and Palliative Medicine
1110 W LAKE COOK RD STE 130A
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Southerncare, Inc.
  • 15 clinicians in this Medicare group
NPI 1790566206 (704) 664-2876

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 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Basirat Bale's NPI number?

The NPI number for Basirat Bale is 1962945261. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Basirat Bale located?

Basirat Bale practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 834-4946.

What is Basirat Bale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Basirat Bale enrolled in Medicare?

Yes. Basirat Bale 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 organizations bill Medicare for Basirat Bale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Basirat Bale reassigns Medicare benefits to 2 organizations: Ih Physician Services, PC (Buffalo Grove, IL) and Ih Physician Services, PC (Buffalo Grove, IL). Each 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 Basirat Bale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Basirat Bale was last updated on July 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.