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Dr. Niraj K Mavani , MD

Internal Medicine โ€ข Chicago, IL

Active NPI 1669813762 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2900 N Lake Shore Dr
Chicago, IL 606575640

Call 2016602190 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2900 N Lake Shore Dr

Chicago, IL 606575640

Telephone 2016602190
Organization at the Same NPPES Address or Phone
Saint Joseph Hospital-Chicago Facility NPI 1225025786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Osf Multi-Specialty Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

277 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $84,311 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $65,040 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

246 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$10,528 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.68 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mavani has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mavani as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Internal Medicine in Chicago, IL (2024, 1,001 clinicians with data). Median for this group: 399. Middle half: 157 to 819.

Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,233 clinicians with data). Median for this group: 696. Middle half: 284 to 1,350.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Chicago, IL (2024, 1,001 clinicians with data). Median for this group: $40,756. Middle half: $14,662 to $78,688.

Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,233 clinicians with data). Median for this group: $67,573. Middle half: $27,612 to $124,679.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Internal Medicine in Chicago, IL (2024, 1,001 clinicians with data). Median for this group: $30,989. Middle half: $10,899 to $61,695.

Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,233 clinicians with data). Median for this group: $52,732. Middle half: $21,081 to $98,181.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Chicago, IL (2024, 1,238 clinicians with data). Median for this group: 500. Middle half: 78 to 2,381.

Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Illinois (2024, 3,709 clinicians with data). Median for this group: 1,078. Middle half: 101 to 4,775.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Internal Medicine in Chicago, IL (2024, 1,238 clinicians with data). Median for this group: $42,371. Middle half: $1,836 to $234,977.

A lower Part D drug cost than 65% of clinicians listed under Internal Medicine in Illinois (2024, 3,709 clinicians with data). Median for this group: $81,781. Middle half: $2,821 to $375,415.

2,824 active clinicians are listed under Internal Medicine with a practice address in Chicago, IL (7,197 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

13.5% of these 2,824 clinicians have the CMS telehealth indicator.

38.7% of these 2,824 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 โ€“ December 31, 2023): fewer than 11 records totaling $19.68.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN Access System General $19.68

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
280 127 $336.04 $114.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
251 131 $224.00 $76.23
99239 Hospital discharge day management, more than 30 minutes
151 148 $323.28 $109.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
74 74 $494.46 $167.33
99291 Critical care, first 30-74 minutes
20 14 $773.00 $206.90

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 34 198 $149.51 34
Prednisone Prednisone 23 318 $100.14 22
Furosemide Furosemide 22 1,425 $87.69 22
Metoprolol Tartrate Metoprolol Tartrate 12 939 $82.97 12
Metoprolol Succinate Metoprolol Succinate 12 900 $146.41 12
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 29 $30.23 11
Atorvastatin Calcium Atorvastatin Calcium 11 990 $118.40 11
Pantoprazole Sodium Pantoprazole Sodium 11 495 $72.10 11
Eliquis Apixaban 11 518 $9,740.93 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES IL 125063569

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20180116001214

Enrollment State Jurisdiction

IL

PECOS Control ID

0446543599

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Osf Multi-Specialty Group

5666 E State St, Rockford, IL 611082425

Phone: 8159218929

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Ahmed Abdelfattah

Internal Medicine

NPI 1245839729
NPI 1164860482

Doctor of Podiatric Medicine

Tristan Adriatico , DNAP

Nurse Anesthetist, Certified Registered

NPI 1285499558
Anisha Agarwal

Student in an Organized Health Care Education/Training Program

NPI 1255011359
Smita Aggarwal

Dermatology

NPI 1083997142
Dr. Queen Aghaji , MD

General Practice

NPI 1518415926

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 17, 2013.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669813762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2013
Last Update: April 05, 2016
Sole Proprietor: No

Other Internal Medicine Providers in Chicago

All Internal Medicine Providers in Chicago

Mailing Address

2900 N Lake Shore Dr

Chicago, IL 606575640

Phone: 7736653000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.