Osman Salih Mahdi Babikir, M.D.
Individual provider Active NPI Surgery Physician · Breese, IL
NPI 1104143510 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1104143510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036144567 (IL)
- Practice address
- 9515 Holy Cross LN Ste 175
Breese, IL 62230-3618 - Phone
- (618) 636-2261
- Fax
- (618) 526-7275
- NPI assigned
- Apr 24, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Dupage Physician Group
Practice addresses (Care Compare)
12255 S 80TH Ave
Suite 204
Palos Heights, IL 60463-1284
Phone (708) 923-4400
Hospital & facility affiliations
- Palos Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171220000495 | IL | Practitioner - General Surgery | 4880903061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current |
Accepting new patients | |
| Central Dupage Physician Group | Current |
Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
12255 S 80th Ave
Ste 204
Palos Heights, IL 60463
Phone (708) 923-4400
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- omahdibabikir262227@ewd.direct.hshs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 49317 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 036144567 | IL | Yes |
Addresses
Primary practice location
9515 Holy Cross LN Ste 175
Breese, IL 62230-3618
Mailing address
11141 Laurel Hill Dr
Orland Park, IL 60467-8703
Phone (773) 704-3493
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omahdibabikir262227@ewd.direct.hshs.org | Direct |
Other providers in Breese, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.