DR. ANDREA M. BAZAN (M.D.) – Internal Medicine Physician, NPI 1699871293
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. ANDREA M. BAZAN (M.D.)
345, West 24th Place, South Branch Addition, Chinatown, Chicago, Cook County, Illinois, 60616, United States
CHICAGO, IL 606162229
Phone: (773) 575-0613
Fax: (847) 299-7844
Type: Mailing
1600 West Dempster Medical Building, 1600, West Dempster Street, Park Ridge, Cook County, Illinois, 60068, United States
SUITE #120
PARK RIDGE, IL 60068
Phone: (847) 299-7888
Fax: (847) 299-7844
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Novo Nordisk Inc ($161).
Total Amount
$215
General + Research + Ownership
Payments
7
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $161 |
| Lilly USA, LLC | $39 |
| Novartis Pharmaceuticals Corporation | $15 |
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: 2004-10-08
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 |
|---|---|---|---|---|
| I20041008001315 | I | Internal 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 324 | 92 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 171 | 86 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 87 | 66 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 60 | 34 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 52 | 31 | $0 |
Insurance plans in this area (ZIP 60616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | IL | |
| Internal Medicine | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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