Mohammad Habib Bawani, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036067603 Issued in IL

Practice address

1105 W Park Ave
Suite 1
Libertyville, IL 60048-2567

Phone

(847) 680-5880

Fax

(847) 680-5881

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterologists LTDGroup PAC ID 3274422886, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202

Merit-based Incentive Payment System (MIPS)

Final score

90.4 of 100Reported as individual

Quality

81.54

Improvement activities

40

Cost

92.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72775

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

• Gastroenterologists LTD

  • Gastroenterology Physician
  • Libertyville, IL
  • NPI 1891993606
  Medicare reassignment Care Compare group
• Medical Arts Family Physicians, SC

  • Legal Medicine
  • Gurnee, IL
  • NPI 1902913403
  NPD (past)

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

• Advocate Condell Medical Center

  dba Advocate Condell Imaging Center

  • Mobile Mammography Clinic/Center
  • Gurnee, IL
  • NPI 1023262441

  Hospital

  Care Compare affiliation
• Advocate Condell Medical Center

  • General Acute Care Hospital
  • Libertyville, IL
  • NPI 1124272547
  Care Compare affiliation
• Advocate Condell Medical Center

  dba Advocate Condell Medical Center Grays Lake

  • Mobile Mammography Clinic/Center
  • Grayslake, IL
  • NPI 1770737199

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407858152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE",
            "address_2": "SUITE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482567",
            "telephone_number": "847-680-5880",
            "fax_number": "847-680-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE",
            "address_2": "SUITE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482567",
            "telephone_number": "847-680-5880",
            "fax_number": "847-680-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWANI",
        "first_name": "MOHAMMAD",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036067603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER ID",
            "identifier": "4901136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felisha Bartnicki, PT
• Zachary Bartsch, M.A. CF-SLP
• Elizabeth K Baruffi, PA-C
• Beth Basin, OTR/L
• Carol A Batson Armstrong, CNP
• Christopher Beach, M.D.
• Molli Beard, PT
• Alexandra Beckman, PT, DPT
• Klaudia Bednarczyk, MS, CCC-SLP
• Kelly J Behrends, PSYD

• Gastroenterology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.