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DR. JUDITH OPENA DISTERHOFT MD
NPI 1093154809
Family Medicine in Oak Park, IL

Active since June 14, 2013PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Nov 29, 2021 (2 updates tracked since 2021).

About Dr. Judith Opena Disterhoft Md NPPES

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

DR. JUDITH OPENA DISTERHOFT MD (NPI 1093154809) is an individual family medicine provider in Oak Park, Illinois, licensed in Illinois (036.159212) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2013).

NPPES Registry Identity

NPI1093154809
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUDITH OPENA DISTERHOFTCredential: MD
Location Address3 ERIE CTOak Park, IL 60302-2519
Mailing Address3 Erie CtOak Park, IL 60302-2519 · (708) 383-6200
Phone(708) 383-6200
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2013
Enumeration DateJune 14, 2013
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1093154809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036.159212✔ Licensed in CA · A143366
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.
3 ERIE CT, Oak Park, IL 60302
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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 and accepts Medicare assignment

Dr. Judith Opena Disterhoft Md 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 ID4486932647
PECOS Enrollment IDI20161024001482, I20220405000484
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 60302 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.

Other Providers at the Same Location NPPES 20

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

SARAH GOLDENBERG
Physical Therapist
3 ERIE CT
OAK PARK, IL 60302
Cook County (847) 975-7675
KAREN ANN B DENKOV APN
Nurse Practitioner (Family)
3 ERIE CT
OAK PARK, IL 60302
Cook County (708) 763-1476
TRAVIS A. TIRPAK APN-CNP
Nurse Practitioner
3 ERIE CT
OAK PARK, IL 60302
Cook County (708) 763-6747
HUSSAM ESKANDAFI M.D
Internal Medicine
3 ERIE CT, SUITE L700
OAK PARK, IL 60302
Cook County (708) 763-1222
KA NGAN WONG OTR/L
Occupational Therapist
3 ERIE CT
OAK PARK, IL 60302
Cook County (708) 383-6200
HEIDI ASBURY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3 ERIE CT
OAK PARK, IL 60302
Cook County (708) 763-6947
MAX L HARRIS MD
Internal Medicine (Rheumatology)
3 ERIE CT, L700
OAK PARK, IL 60302
Cook County (708) 763-2536
AMEENA SYEDA MADANI PA
Physician Assistant (Medical)
3 ERIE CT
OAK PARK, IL 60302
Cook County (224) 518-8065

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 Judith Disterhoft's NPI number?

The NPI number for Judith Disterhoft is 1093154809. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Judith Disterhoft located?

Judith Disterhoft practices at 3 Erie Ct, Oak Park, IL 60302. The listed phone number is (708) 383-6200.

What is Judith Disterhoft's specialty?

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

Is Judith Disterhoft enrolled in Medicare?

Yes. Judith Disterhoft 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.

When was this NPI record last updated?

The NPPES record for Judith Disterhoft was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.