DR. ANASTASIA LVOVNA KHOUBAEVA (M.D.) – Emergency Medicine Physician, NPI 1053643106
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for DR. ANASTASIA LVOVNA KHOUBAEVA (M.D.)
1100 E NORRIS DR
OTTAWA, IL 613501604
Phone: (815) 433-3100
Fax: (815) 433-0879
Type: Mailing
2650 Ridge Ave
Evanston Hospital
Evanston, IL 602011718
Phone: (847) 570-2114
Fax: (847) 570-1223
Type: Location
680 N Lake Shore Dr
Chicago, IL 606114546
Phone: (312) 695-6868
Type: Location
Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON HOSPITAL
EVANSTON, IL 602011718
Phone: (847) 570-2114
Fax: (847) 570-1223
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-09-20
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 |
|---|---|---|---|---|
| I20120920000710 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 540 | 526 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 143 | 143 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 94 | 92 | $0 |
| 99291 | Critical care, first 30-74 minutes | 75 | 75 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 61350)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| - | TX | |
| Emergency Medicine | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine, Family Practice | IL |
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