SUYEUN BAN
NPI 1003269846
Family Medicine in Chicago, IL

Q: What is Suyeun Ban's NPI number?

The NPI number for Suyeun Ban is 1003269846. It was assigned to this individual provider in the NPPES registry on July 17, 2016.

Q: What is Suyeun Ban's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Suyeun Ban was last updated on July 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2016PECOS EnrolledAccepts Medicare Assignment

1501 S CALIFORNIA AVE STE L1026, CHICAGO, IL 60608(773) 257-6097 Get Directions Write a Review

NPPES record last updated: July 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suyeun Ban NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUYEUN BAN (NPI 1003269846) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.068194) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003269846

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUYEUN BAN

Location Address1501 S CALIFORNIA AVE STE L1026Chicago, IL 60608-1732

Mailing Address1501 S California Ave Ste L1026Chicago, IL 60608-1732 · (773) 257-6097

Phone(773) 257-6097

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 17, 2016

✔ NPI 1003269846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125.068194

Definition

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.

1501 S CALIFORNIA AVE STE L1026, Chicago, IL 60608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suyeun Ban is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426481300

PECOS Enrollment IDI20191206001503

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140133

Location2701 W 68th StreetChicago, IL 60629 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$67.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACQUELINE MARIE GOWAN MD

Family Medicine