IFATH G BASHIRUDDIN (M.D.) – Nephrology Physician, NPI 1417060534
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
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Provider Addresses for IFATH G BASHIRUDDIN (M.D.)
4550, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
SUITE 360
BELLEVILLE, IL 622265359
Phone: (618) 239-9500
Fax: (618) 239-9555
Type: Location
7, Beaver Creek Court, Saint Charles, Saint Charles County, Missouri, 63303, United States
SAINT CHARLES, MO 633035497
Phone: (618) 239-9500
Fax: (618) 239-9555
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($105).
Total Amount
$365
General + Research + Ownership
Payments
17
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-11-02
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 |
|---|---|---|---|---|
| I20071102000715 | I | Nephrology | 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 | 451 | 136 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 154 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 68 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 135 | 39 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 120 | 86 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | MO | |
| Hospitalist, Emergency Medicine, Internal Medicine, Hospitalist | IL | |
| Internal Medicine, Nephrology | MO | |
| Nurse Practitioner | IL |
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