DR. PEYMAN PAHLAVAN M.D. NPI 1063450757

NPI Information

  • NPI: 1063450757
  • Provider Name: DR. PEYMAN PAHLAVAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 153 1/2 N. BROADWAY AVENUE
    MELROSE PARK, IL
    ZIP 60160
  • Phone: (708) 345-8960

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NPI Details

DR. Peyman Pahlavan, M.D. is a family medicine in Melrose Park, IL with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Peyman Pahlavan, M.D. NPI is 1063450757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1997

The provider's business location address is:

153 1/2 N. BROADWAY AVENUE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 345-8960
Fax: (708) 345-8965

The NPI 1063450757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Automated urinalysis test (HCPCS:81003)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of hepatitis b vaccine (HCPCS:G0010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use (HCPCS:91301)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment (HCPCS:95250)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine036-103944ILLINOISNo
2207Q00000XFamily Medicine036103944ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036-103944MEDICAIDILLINOIS
20001634278OTHERILLINOISBLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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