ILJA FAIBUSSOWITSCH (MD) – Pulmonary Disease Physician, NPI 1740220193
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
371 PULMONARY DISEASE in AZ
Provider Addresses for ILJA FAIBUSSOWITSCH (MD)
3155 E Southern Ave Ste 201
Mesa, AZ 852045521
Phone: (480) 655-8040
Fax: (480) 655-1640
Type: Location
Howard Brown Health Diversey, 2800, North Sheridan Road, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
SUITE 301
CHICAGO, IL 606576156
Phone: (773) 935-5556
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $2,866.
Total Amount is formed as General ($2,866) + Research ($0) + Ownership ($0) = $2,866.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Baxter Healthcare ($1,140).
Total Amount
$2,866
General + Research + Ownership
Payments
60
Total payment records
General Amount
$2,866
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $1,140 |
| Intuitive Surgical, Inc. | $447 |
| Regeneron Healthcare Solutions, Inc. | $251 |
| AstraZeneca Pharmaceuticals LP | $210 |
| GENZYME CORPORATION | $144 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060621000358 | I | Pulmonary Disease | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,888 | 365 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 819 | 298 | $0 |
| 99291 | Critical care, first 30-74 minutes | 300 | 118 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 290 | 260 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 44 | 28 | $0 |
Insurance plans in this area (ZIP 85204)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Pulmonary Disease | IL | |
| Critical Care (Intensivists), Pulmonary Disease | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | AZ | |
| Internal Medicine, Pulmonary Disease | FL | |
| Critical Care (Intensivists) | PA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | IL |
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