DR. IRENE BLANCO MD
NPI 1104074244
Internal Medicine - Rheumatology in Chicago, IL

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 14-100, CHICAGO, IL 60611(312) 695-8628(312) 695-0114 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irene Blanco Md NPPES

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

DR. IRENE BLANCO MD (NPI 1104074244) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036161539) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1104074244
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. IRENE BLANCOCredential: MD
Location Address675 N SAINT CLAIR ST STE 14-100Chicago, IL 60611-5966
Mailing Address675 N Saint Clair St Ste 14-100Chicago, IL 60611-5966 · (312) 695-8628 · Fax (312) 695-0114
Fax(312) 695-0114
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1999
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
NPI 1104074244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in IL · 036161539 Licensed in NY · 240409
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
675 N SAINT CLAIR ST STE 14-100, Chicago, IL 60611

Secondary Practice Location 1

Location 11300 Morris Park Ave, Department of Rheumatology Forchheimer 701Bronx, NY 10461-1900 · Phone (718) 430-2078

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. Irene Blanco 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 ID1658424445
PECOS Enrollment IDI20220829001730
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 4

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.

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.
121 services70 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.
25 services21 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.
16 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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 11

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Rheumatology)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Rheumatology)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Rheumatology)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Rheumatology)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Endocrinology, Diabetes & Metabolism)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Endocrinology, Diabetes & Metabolism)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611
Internal Medicine (Rheumatology)
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 60611

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 Irene Blanco's NPI number?

The NPI number for Irene Blanco is 1104074244. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Irene Blanco located?

Irene Blanco practices at 675 N Saint Clair St Ste 14-100, Chicago, IL 60611. The listed phone number is (312) 695-8628.

What is Irene Blanco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Irene Blanco enrolled in Medicare?

Yes. Irene Blanco 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 Irene Blanco affiliated with any hospitals?

According to CMS data, Irene Blanco is affiliated with Palos Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Irene Blanco was last updated on October 13, 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.