MR. RUSTAM SAFAROV (FNP) – Nurse Practitioner, NPI 1770147480
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MR. RUSTAM SAFAROV (FNP)
10 N MILWAUKEE AVE
WHEELING, IL 600903012
Phone: (800) 323-8622
Type: Location
10, North Milwaukee Avenue, Wheeling, Wheeling Township, Cook County, Illinois, 60090, United States
WHEELING, IL 600903012
Phone: (877) 229-1006
Type: Mailing
E Phillip Road, Vernon Hills, Lake County, Illinois, 60061, United States
VERNON HILLS, IL 600611700
Phone: (847) 680-0500
Type: Location
6 E Phillip Rd
Vernon Hills, IL 600611700
Phone: (847) 680-0500
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Fax: (847) 390-4757
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$135
General + Research + Ownership
Payments
8
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| AstraZeneca Pharmaceuticals LP | $50 |
| Almatica Pharma LLC | $15 |
| IMPEL PHARMACEUTICALS INC. | $13 |
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: 2019-10-04
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 |
|---|---|---|---|---|
| I20191004002450 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,014 | 55 | $0 |
| 97530 | Therapy procedure using functional activities | 1,005 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 103 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 84 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 54 | 54 | $0 |
Insurance plans in this area (ZIP 60090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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