MERAT KARBASIAN-ESFAHANI (M.D.) – Hematology & Oncology Physician, NPI 1992740963
Hematology & Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
727 HEMATOLOGY/ONCOLOGY in IL
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Provider Addresses for MERAT KARBASIAN-ESFAHANI (M.D.)
PO BOX 78866
MILWAUKEE, WI 532788866
Phone:
Type: Mailing
Swedish American Regional Cancer Center, 3535, North Bell School Road, Rockford, Winnebago County, Illinois, 61114, United States
ROCKFORD, IL 61114
Phone: (779) 696-9400
Type: Location
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.
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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: 2007-10-13
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 |
|---|---|---|---|---|
| I20071013000032 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 608 | 216 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 151 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 145 | 89 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 66 | 66 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | 24 | $0 |
Insurance plans in this area (ZIP 53278)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | IL | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 63 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine | WI | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| General Surgery | GA | |
| Internal Medicine | WI | |
| N E U R O S U R G E R Y | IL | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
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