NPIMap

Individual provider Active NPI

Mugurel Valentin Bazavan, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Lake Forest, IL
National Provider Identifier
1255562146
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
036129235 Issued in IL
Practice address
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone
(847) 534-3278
NPI assigned
Jul 27, 2009
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125056600 IL
Cardiovascular Disease Physician 207RC0000X 036129235 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036129235 IL Primary

Addresses

Primary practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Mailing address

8854 N Grace Ave Unit 2NW
Niles, IL 60714-1410
Phone (773) 653-5017

Other practice location 1

2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 535-7157

Other practice location 2

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000803 IL Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284930082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 724-4536

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125056600ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Single Specialty CurrentSince Jul 1, 2016 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Jul 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 10, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Single Specialty Current Accepting new patients
Advocate Health & Hospitals Corporation Single Specialty CurrentSince Jul 10, 2017 Accepting new patients
Central Dupage Physician Group Single Specialty Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2701 Patriot Blvd
Glenview, IL 60026
Phone (847) 724-4536

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1255562146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 N GRACE AVE UNIT 2NW",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141410",
            "telephone_number": "773-653-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-534-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Patriot Blvd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268039",
            "country_code": "US",
            "telephone_number": "847-535-7157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "773-564-7400",
            "fax_number": "773-564-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZAVAN",
        "first_name": "MUGUREL",
        "middle_name": "VALENTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125056600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036129235",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036129235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.