DR. JUDITH OPENA DISTERHOFT MD
NPI 1093154809
Family Medicine in Oak Park, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Judith Disterhoft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60651
- Reassigned Medicare billing, Illinois enrollment
- 45 clinicians in this Medicare group
Chicago, IL 60640
- Reassigned Medicare billing, Illinois enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Judith Disterhoft's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Disterhoft reassigns Medicare benefits to 2 organizations: Near North Health Service Corporation (Chicago, IL) and Resilience Healthcare - Lakefront Medical Associates, LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Disterhoft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Judith Disterhoft accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Judith Disterhoft as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 22 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.
# Dr. Judith Opena Disterhoft, MD · NPI 1093154809
Family Medicine physician in Oak Park, Illinois. Individual provider, active in the CMS NPPES registry since June 14, 2013.
## Identity
- **NPI:** 1093154809 (Entity type: Individual)
- **Enumerated:** June 14, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.159212 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 ERIE CT, Oak Park, IL 60302-2519
- **Phone:** (708) 383-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Near North Health Service Corporation (NPI 1720404494, Chicago, IL); Resilience Healthcare - Lakefront Medical Associates, LLC (NPI 1205301926, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093154809) · Data from the CMS NPPES public registry.