DR. GHAZALEH ROSTAMI NIA (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1063824027

DR. GHAZALEH ROSTAMI NIA (MD) is a healthcare provider. based in Evanston, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 0116026700 (VA). The NPI Number for DR. GHAZALEH ROSTAMI NIA (MD) is 1063824027

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. GHAZALEH ROSTAMI NIA (MD)
NPI
1063824027
Phone
(847) 434-9728
Address
2650 RIDGE AVENUE WALGREEN BUILDING, SUITE 1507
Enumeration Date
27 May 2014
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
2466758412
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20200731000428
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for DR. GHAZALEH ROSTAMI NIA (MD)

  • 2650 RIDGE AVENUE WALGREEN BUILDING, SUITE 1507

    EVANSTON, IL 60201

    Phone: (847) 434-9728

    Type: Location

  • 9650 GROSS POINT RD STE 3900

    SKOKIE, IL 600765085

    Phone: (224) 251-2374

    Fax: (847) 933-3531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $297.

Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Axonics, Inc. ($192).

Total Amount

$297

General + Research + Ownership

Payments

16

Total payment records

General Amount

$297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$192
Medtronic, Inc.$105
View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200731000428IObstetrics/GynecologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes764537$0
99204New patient office or other outpatient visit, 45-59 minutes264264$0
99215Established patient office or other outpatient visit, 40-54 minutes8173$0
52000Diagnostic exam of bladder and urethra using an endoscope7472$0
52287Exam with injections of chemical for destruction of bladder using an endoscope5845$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Is DR. GHAZALEH ROSTAMI NIA (MD) listed with a National Provider Identifier?
Yes — DR. GHAZALEH ROSTAMI NIA (MD) has NPI 1063824027 on file in the registry.
Active or inactive — what applies to DR. GHAZALEH ROSTAMI NIA (MD)?
You should see DR. GHAZALEH ROSTAMI NIA (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. GHAZALEH ROSTAMI NIA (MD)?
DR. GHAZALEH ROSTAMI NIA (MD)'s specialty line reads Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. GHAZALEH ROSTAMI NIA (MD) registered?
Use Evanston, Illinois as the headline location for DR. GHAZALEH ROSTAMI NIA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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