Ziya Baghmanli, M.D.
NPI 1699068767 · Surgery Physician · Red Bud, IL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ziya Baghmanli, M.D. is a Surgery Physician provider in Red Bud, IL (NPI 1699068767).
Provider details
- NPI number
- 1699068767
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
25 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 14 | $77 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 11 | $190 |
Typical Medicare-allowed amounts for these services range $77–$190 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 325 Spring StRed Bud, IL 62278-1105Phone: (419) 383-6462
- 818 E Broadway StSparta, IL 62286-1820Phone: (618) 443-1337
- 1300 N Market StSparta, IL 62286-1048Phone: (618) 443-1337Fax: (618) 443-1383
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Ziya Baghmanli's NPI number?
- Ziya Baghmanli's National Provider Identifier (NPI) is 1699068767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ziya Baghmanli's specialty?
- Ziya Baghmanli is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ziya Baghmanli located?
- Ziya Baghmanli's practice location on file with NPPES is 325 Spring Street, Red Bud, IL 62278.
- What is Ziya Baghmanli's phone number?
- The practice phone number listed in the NPPES registry for Ziya Baghmanli is (618) 282-3831.
- Does Ziya Baghmanli accept Medicare?
- Ziya Baghmanli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ziya Baghmanli's NPI active?
- Yes — Ziya Baghmanli's NPI (1699068767) is active in the NPPES registry as of the last update on 2026-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.