JOHN SIFUENTES M.D.
NPI 1154433621
Internal Medicine in Joliet, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1106 NEAL AVE, JOLIET, IL 60433(815) 727-8670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Sifuentes M.d. NPPES

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

JOHN SIFUENTES M.D. (NPI 1154433621) is an individual internal medicine provider in Joliet, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1154433621
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN SIFUENTESCredential: M.D.
Location Address1106 NEAL AVEJoliet, IL 60433-2548
Mailing Address18507 Bellagio CirTinley Park, IL 60477-4462 · (815) 685-2183
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154433621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1106 NEAL AVE, Joliet, IL 60433

Other Identifiers 1

Medicare UPINI14228

Accepted Insurance

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

John Sifuentes M.d. 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 ID5395711980
PECOS Enrollment IDI20111024000038, I20111027000054, I20160921000219
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
448 services178 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.
315 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
172 services171 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60433 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%37 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$17.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$93.70 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.

Nurse Practitioner (Adult Health)
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Psychiatric/Mental Health)
1106 NEAL AVE
JOLIET, IL 60433
Advanced Practice Dental Therapist
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Family)
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Psychiatric/Mental Health)
1106 NEAL AVE
JOLIET, IL 60433
Dentist
1106 NEAL AVE
JOLIET, IL 60433
Psychiatry & Neurology (Psychiatry)
1106 NEAL AVE
JOLIET, IL 60433
Obstetrics & Gynecology
1106 NEAL AVE
JOLIET, IL 60433

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 John Sifuentes's NPI number?

The NPI number for John Sifuentes is 1154433621. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is John Sifuentes located?

John Sifuentes practices at 1106 Neal Ave, Joliet, IL 60433. The listed phone number is (815) 727-8670.

What is John Sifuentes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Sifuentes enrolled in Medicare?

Yes. John Sifuentes 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.

What insurance does John Sifuentes accept?

Health plans from CareSource, Medica and Oscar Insurance Company list John Sifuentes 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 John Sifuentes affiliated with any hospitals?

According to CMS data, John Sifuentes is affiliated with Mercy Medical Center - Cedar Rapids and Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for John Sifuentes was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.