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KATARZYNA HELENA ROGALA MD
NPI 1124465844
Family Medicine in La Grange, IL

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525(708) 245-8900 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2023, Mar 26, 2021, Oct 30, 2019 and 1 more (4 updates tracked since 2017).

About Katarzyna Helena Rogala Md NPPES

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

KATARZYNA HELENA ROGALA MD (NPI 1124465844) is an individual family medicine provider in La Grange, Illinois, licensed in Illinois (036141018) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124465844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATARZYNA HELENA ROGALACredential: MD
Location Address1325 COMMUNITY MEMORIAL DRLa Grange, IL 60525-2659
Mailing Address1325 Community Memorial DrLa Grange, IL 60525-2659 · (708) 245-8900
Phone(708) 245-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 4, 2013
Last NPPES UpdateJanuary 4, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1124465844 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 · 036141018
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.
1325 COMMUNITY MEMORIAL DR, La Grange, IL 60525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Katarzyna Helena Rogala 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 ID9133427347
PECOS Enrollment IDI20170125000861
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.

Medicare Billing Reassignment

Medicare enrollment records show Katarzyna Rogala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Midwest Health
Same address
Family Medicine
1325 COMMUNITY MEMORIAL DR
La Grange, IL 60525
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
NPI 1912353822 (708) 245-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
81 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services29 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.
46 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services12 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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.

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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.35
Promoting Interoperability100
Improvement Activities40
Cost47.56

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims51 services$5.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LEO KOENIG MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
GUIA STEPHANIE ALCALA PASCUAL DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
AISHAT CAROLYN OIYZA AUDU MD
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
SARAH KAY WELCH DO
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DANIELLE MARIE GODUTO DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8948
ANERI NITISH SHAH DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. DAPHNE TESSALEE MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. KRISTINA NICOLE STEPANOVIC DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (087) 245-8900

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 Katarzyna Rogala's NPI number?

The NPI number for Katarzyna Rogala is 1124465844. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Katarzyna Rogala located?

Katarzyna Rogala practices at 1325 Community Memorial Dr, La Grange, IL 60525. The listed phone number is (708) 245-8900.

What is Katarzyna Rogala's specialty?

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

Is Katarzyna Rogala enrolled in Medicare?

Yes. Katarzyna Rogala 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 organization bills Medicare for Katarzyna Rogala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katarzyna Rogala reassigns Medicare benefits to Adventist Midwest Health (La Grange, IL). The 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 Katarzyna Rogala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katarzyna Rogala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Katarzyna Rogala 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.

Is Katarzyna Rogala affiliated with any hospitals?

According to CMS data, Katarzyna Rogala is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Katarzyna Rogala was last updated on January 4, 2023. 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.