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Active NPI 1417060534 Individual Practitioner Female Practitioner

Dr. Ifath G Bashiruddin , MD

Internal Medicine - Nephrology • Belleville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ifath Bashiruddin, MD is a certified Internal Medicine - Nephrology practicing in Belleville, IL. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Bashiruddin delivers high-quality medical care to the local community at 4550 MEMORIAL DR.

Dr. Bashiruddin is affiliated with Rashid A Dalal Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, dialysis services, hemodialysis procedure with physician evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4550 Memorial Dr
Suite 360

Belleville, IL 622265359

Telephone 6182399500
Fax 6182399555
Associated Practice Facility / Clinic
🏢 Dwight O'dell, M.d., Ltd. Facility NPI 1639271513

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Belleville, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
49 Yrs +14.4 yrs vs City Avg
City Avg: 34.6 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Belleville, IL (598 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bashiruddin (49 Years) 49 Yrs
Belleville Specialty Average (34.6 Years) 34.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
239 102 $130.00 $77.86
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
143 41 $650.00 $345.22
90935 Hemodialysis procedure with physician evaluation
100 45 $325.00 $69.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
79 67 $225.00 $130.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes
74 53 $90.00 $49.30
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
31 21 $550.00 $286.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 23 $125.00 $123.11
99221 Initial hospital inpatient care per day, typically 30 minutes
28 25 $180.00 $82.92

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IL 036085731

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036085731 (IL)
Commercial Insurance / Payer ID Railroad Medicare
390007921 (IL)

Hospital & Practice Group Affiliations

Rashid A Dalal Md Pc

129 N Eight St 3rd Fl, E Saint Louis, IL 622012917

Phone: 6184827050

Rashid A Dalal Md Pc

129 N 8th St, E Saint Louis, IL 622012917

Phone: 6182741900

Rashid A Dalal Md Pc

5003 N Illinois St, Fairview Heights, IL 622083419

Phone: 6182399500

Rashid A Dalal Md Pc

5105 W Main St, Belleville, IL 622264728

Phone: 6182399500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Rashid Dalal , MD

Internal Medicine - Nephrology

NPI 1265434815

Doctor of Medicine (M.D.)

Janis Taake , RD, LD

Dietitian, Registered

NPI 1417280710

Registered Dietitian, Licensed Dietitian

Tammi Jones , FNP

Nurse Practitioner - Family

NPI 1902273717

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2012

Registered at 4550 MEMORIAL DR, SUITE 360, BELLEVILLE, IL 622265359 (Tel: 6182399500)

📍
Updated Business Mailing Address January 31, 2012

Registered at 7 BEAVER CREEK CT, SAINT CHARLES, MO 633035497 (Tel: 6182399500)

👤
Provider Name / Credentials Updated January 31, 2012

Recorded as IFATH BASHIRUDDIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2012

Internal Medicine (License #036085731 in IL)

🟢
Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417060534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: January 31, 2012
Sole Proprietor: Yes

Mailing Address

7 Beaver Creek Ct

Saint Charles, MO 633035497

Phone: 6182399500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.