Bakytbubu Arynova, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Rockford, IL
NPI 1124467253 · NPPES record last updated Aug 5, 2015
Key facts
- NPI
- 1124467253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036.135802 (IL)
- Practice address
- 1200 W State St
Rockford, IL 61102-2112 - Phone
- (815) 490-1600
- Fax
- (815) 490-1485
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Sinai Community Foundation
Practice addresses (Care Compare)
1717 W Algonquin Rd
Mount Prospect, IL 60056-5401
Phone (847) 939-3139
California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 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 |
|---|---|---|---|---|
| I20151223001036 | IL | Practitioner - Obstetrics/Gynecology | 8022319649 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.135802 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Obstetrics & Gynecology | Current |
Accepting new patients |
| Nova Med Womens Care PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Nova Med Care LTD | Current |
Accepting new patients | |
| Mount Sinai Community Foundation | Current |
Accepting new patients |
Locations
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
1717 W Algonquin Rd
Mt Prospect, IL 60056
Phone (847) 939-3139
Interoperability endpoints
- bakytbubu.arynova@488695864426500.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036.135802 | IL | Yes |
Addresses
Primary practice location
1200 W State St
Rockford, IL 61102-2112
Mailing address
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
Other providers in Rockford, IL
- Jessica Danae Arreguin
- Suzanne Maria Artale-Fritz
- Rebecca Artner
- Arturo S. Manas, LTD
- Mae Arvay
- Uzma Asad
- Opeyemi Ajike Asanbe
- Nisa Asghar
- Adekola Abioudun Ashaye
- Hanah Ashley
All providers in Rockford, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2015. 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.