1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

ESMERALDA ROSALES
NPI 1194372557
Family Medicine in Chicago, IL

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
251 E HURON ST, CHICAGO, IL 60611(630) 229-8968 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2021, Aug 17, 2020, Aug 21, 2019 (3 updates tracked since 2019).

About Esmeralda Rosales NPPES

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

ESMERALDA ROSALES (NPI 1194372557) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125076256) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194372557
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameESMERALDA ROSALES
Location Address251 E HURON STChicago, IL 60611-2908
Mailing Address2872 W Palmer StChicago, IL 60647-1354
Phone(630) 229-8968
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 21, 2019
Last NPPES UpdateAugust 13, 20213 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1194372557 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 · 125076256
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.
251 E HURON ST, Chicago, IL 60611
Open in Google Maps ↗

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

Esmeralda Rosales 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 ID8628427507
PECOS Enrollment IDI20231218003440
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 Esmeralda Rosales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Esperanza Health Centers
1.2 mi
Federally Qualified Health Center (FQHC)
320 S PLYMOUTH CT
Chicago, IL 60604
  • Reassigned Medicare billing, Illinois enrollment
  • 123 clinicians in this Medicare group
NPI 1467208900 (773) 584-6200

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 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
$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.

MARK WANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Cook County (312) 503-8144
DR. MARLEY ANN DOYLE M/D.
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Cook County (312) 926-6895
CASSIDY SCHWAB MD
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 695-0061
SEONG PARK
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
EMMA WALLS GREEVER MD
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
NICOLE ELIZABETH TRUPIANO MD
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
ASHRAF SAMHAN MD
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
DR. SABINA SPIGNER MD, MS, MPH
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000

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 Esmeralda Rosales's NPI number?

The NPI number for Esmeralda Rosales is 1194372557. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Esmeralda Rosales located?

Esmeralda Rosales practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (630) 229-8968.

What is Esmeralda Rosales's specialty?

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

Is Esmeralda Rosales enrolled in Medicare?

Yes. Esmeralda Rosales 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 Esmeralda Rosales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esmeralda Rosales reassigns Medicare benefits to Esperanza Health Centers (Chicago, 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 Esmeralda Rosales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esmeralda Rosales accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Esmeralda Rosales 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 Esmeralda Rosales was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.