Pejman Babakhanlou, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036182558 Issued in IL

Practice address

1505 Eastland Dr Ste 2300
Bloomington, IL 61701-7910

Phone

(309) 644-3160

Fax

(309) 644-3344

NPI assigned

Jun 21, 2007

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

71.66 of 100Reported as group

Quality

52.4

Promoting interoperability

84

Improvement activities

40

Cost

66.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1447456033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 2300",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017910",
            "telephone_number": "309-644-3160",
            "fax_number": "309-644-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 2300",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017910",
            "telephone_number": "309-644-3160",
            "fax_number": "309-644-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHANLOU",
        "first_name": "PEJMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036182558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daiva Liucija Avizienis
• Gerald Awadzi, DMD
• Ayoola Olajuwon Awosika, MD, MBA, MS
• Axline Advanced
• Axline's Inc. (Axline Pharmacy (05))
• Imoleayo Taiwo Babarinde
• Alex Baca, LPC
• Andrew W. Backus, O.D.
• Kathleen Backus, MA, LCPC
• Amber Baer, BSN, RN

• Surgery Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.