JOHN G SCARAMELLA M.D.
NPI 1033159157
Family Medicine in Chicago, IL

Q: What is John Scaramella's NPI number?

The NPI number for John Scaramella is 1033159157. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is John Scaramella'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 John Scaramella was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 07, 2006PECOS EnrolledAccepts Medicare Assignment

4920 N CENTRAL AVE, SUITE 2B, CHICAGO, IL 60630(773) 202-5959(773) 202-9144 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John G Scaramella M.d. NPPES

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

JOHN G SCARAMELLA M.D. (NPI 1033159157) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036087838) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1991).

NPPES Registry Identity

NPI1033159157

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN G SCARAMELLACredential: M.D.

Location Address4920 N CENTRAL AVE, SUITE 2BChicago, IL 60630-2338

Mailing AddressPo Box 7389Prospect Heights, IL 60070-7389 · (847) 870-3600 · Fax (847) 870-3500

Phone(773) 202-5959

Fax(773) 202-9144

Sole ProprietorYes

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1991

Enumeration DateJune 7, 2006

Last NPPES UpdateJune 3, 2014

✔ NPI 1033159157 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 · 036087838

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.

4920 N CENTRAL AVE, Chicago, IL 60630

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Other Identifiers 3

Medicare PIN519010IL

Medicare UPINF34613IL

Medicaid036087838IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

John G Scaramella M.d. 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 ID5991870727

PECOS Enrollment IDI20080813000684

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

276 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

239 services157 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services78 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

92 services27 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

88 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

69 services69 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

64 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

62 services46 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

31 services23 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

31 services24 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

28 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

19 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140117

Location7435 W Talcott AvenueChicago, IL 60631 · Cook County

Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number140251

Location5645 W Addison StreetChicago, IL 60634 · Cook County

Emergency services

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60630 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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers64 claims134 services$4.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers37 claims38 services$0.92 avg. paid by Medicare

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.85 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$43.02 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier23 claims23 services$26.54 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers19 claims19 services$28.54 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 15

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

ANDRZEJ P INDYK M.D.

Family Medicine

4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630

Cook County (773) 202-8034

MARLENE OLASO SANTOS P.T.

Physical Therapist

4920 N CENTRAL AVE
CHICAGO, IL 60630

Cook County (773) 205-8911

R CLIFTON CROMPTON JR & JOHN M HOLICKA PTR

Optometrist

4920 N CENTRAL AVE
CHICAGO, IL 60630

Cook County (773) 777-6615

INSTITUTE FOR INTEGRATIVE HEALTH AND WELLNESS,S.C.

Clinic/Center (Health Service)

4920 N CENTRAL AVE, 1A
CHICAGO, IL 60630

Cook County (773) 427-0820

MEDICAL INTEGRATION SC

Clinic/Center (Health Service)

4920 N CENTRAL AVE, SUITE 1A
CHICAGO, IL 60630

Cook County (773) 427-0820

JOEL R. ANDERSON, PC

Podiatrist (Foot & Ankle Surgery)

4920 N CENTRAL AVE, STE 1A
CHICAGO, IL 60630

Cook County (773) 736-3338

JOHN G SCARAMELLA MD SC

Clinic/Center (Primary Care)

4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630

Cook County (773) 202-5959

MRS. FRITZIE ARENAS VALERA PT

Physical Therapist

4920 N CENTRAL AVE
CHICAGO, IL 60630

Cook County (773) 736-3338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Scaramella's NPI number?

The NPI number for John Scaramella is 1033159157. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is John Scaramella located?

John Scaramella practices at 4920 N Central Ave Suite 2B, Chicago, IL 60630. The listed phone number is (773) 202-5959.

What is John Scaramella's specialty?

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

Is John Scaramella enrolled in Medicare?

Yes. John Scaramella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Scaramella affiliated with any hospitals?

According to CMS data, John Scaramella is affiliated with Presence Saint Francis Hospital, Amita Health Resurrection Medical Center, Community First Medical Center, Northwest Community Hospital 1 and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for John Scaramella was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.