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LEAH KRISTINA PETRAK PA-C
NPI 1043834070
Physician Assistant in Chicago, IL

Active since June 05, 2020PECOS Enrolled
94.1/100
CMS Quality Rating
250 E SUPERIOR ST FL 15, CHICAGO, IL 60611(312) 472-4225(312) 472-4226 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2022, Jun 5, 2020 (2 updates tracked since 2020).

About Leah Kristina Petrak Pa-c NPPES

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

LEAH KRISTINA PETRAK PA-C (NPI 1043834070) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085009033) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043834070
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEAH KRISTINA PETRAKCredential: PA-C
Location Address250 E SUPERIOR ST FL 15Chicago, IL 60611-2914
Mailing Address250 E Superior St Fl 15Chicago, IL 60611-2914 · (312) 472-4225 · Fax (312) 472-4226
Phone(312) 472-4225
Fax(312) 472-4226
Sole ProprietorYes
Enumeration DateJune 5, 2020
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1043834070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085009033
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
250 E SUPERIOR ST FL 15, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Kristina Petrak Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

NORTHWESTERN MEMORIAL HOSPITAL
General Acute Care Hospital
250 E SUPERIOR ST FL 15
CHICAGO, IL 60611
Cook County (312) 472-3664
MS. MARY EILEEN CALLAGHAN APRN, CNS
Advanced Practice Midwife
250 E SUPERIOR ST FL 15
CHICAGO, IL 60611
Cook County (312) 472-4225

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 Leah Petrak's NPI number?

The NPI number for Leah Petrak is 1043834070. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Leah Petrak located?

Leah Petrak practices at 250 E Superior St Fl 15, Chicago, IL 60611. The listed phone number is (312) 472-4225.

What is Leah Petrak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leah Petrak enrolled in Medicare?

Yes. Leah Petrak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leah Petrak was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.