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NATHAN BOUNYONG DO
NPI 1114580115
Family Medicine in Chicago, IL

Active since April 16, 2019PECOS Enrolled
5145 N CALIFORNIA AVE, CHICAGO, IL 60625(773) 989-3808 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2022, Aug 17, 2021, Apr 16, 2019 (3 updates tracked since 2019).

About Nathan Bounyong Do NPPES

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

NATHAN BOUNYONG DO (NPI 1114580115) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.161773) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114580115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN BOUNYONGCredential: DO
Location Address5145 N CALIFORNIA AVEChicago, IL 60625-3687
Mailing Address5145 N California AveChicago, IL 60625-3687 · (773) 989-3808
Phone(773) 989-3808
Sole ProprietorNo
Enumeration DateApril 16, 2019
Last NPPES UpdateSeptember 7, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1114580115 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 · 036.161773
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.
5145 N CALIFORNIA AVE, Chicago, IL 60625
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Bounyong Do 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 60625 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.

IVAN ZRANTCHEV MD
Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
AMC ANESTHESIA LTD
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
GLORIA NEZIANYA APN-CNP
Nurse Practitioner
5145 N CALIFORNIA AVE, STE M276
CHICAGO, IL 60625
Cook County (773) 878-8200
DR. SINAMIS IDREI MD
Internal Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 787-8200
KAYLA ARLENE BALOUSEK MD
Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
JULIE I FRITZ PA
Physician Assistant
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 989-3800
DR. ARTEMIS KHOJASTEH M.D.
Emergency Medicine
5145 N CALIFORNIA AVE, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60625
Cook County (773) 878-8200
WILMER FERNANDO DAVILA M.D.
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 293-5486

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 Nathan Bounyong's NPI number?

The NPI number for Nathan Bounyong is 1114580115. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Nathan Bounyong located?

Nathan Bounyong practices at 5145 N California Ave, Chicago, IL 60625. The listed phone number is (773) 989-3808.

What is Nathan Bounyong's specialty?

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

Is Nathan Bounyong enrolled in Medicare?

Yes. Nathan Bounyong is registered in the Medicare PECOS enrollment system.

What insurance does Nathan Bounyong accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nathan Bounyong 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 Nathan Bounyong was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.