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GUSTAVO A PEDRAZA M.D.
NPI 1194811943
Internal Medicine in Channahon, IL

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
25220 W REED ST, CHANNAHON, IL 60410(815) 467-4114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gustavo A Pedraza M.d. NPPES

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

GUSTAVO A PEDRAZA M.D. (NPI 1194811943) is an individual internal medicine provider in Channahon, Illinois, licensed in Illinois (036076520) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1986).

NPPES Registry Identity

NPI1194811943
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGUSTAVO A PEDRAZACredential: M.D.
Location Address25220 W REED STChannahon, IL 60410
Mailing Address25220 West Reed Street, Po Box 197Channahon, IL 60410 · (815) 467-4114
Phone(815) 467-4114
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194811943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036076520
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.
25220 W REED ST, Channahon, IL 60410
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Other Identifiers 1

Medicare UPINE19067IL

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

Gustavo A Pedraza 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 ID9931243581
PECOS Enrollment IDI20100219000400
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 Reassignments

2

Medicare enrollment records show Gustavo Pedraza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gustavo A . Pedraza M.D., Ltd
1.5 mi
Primary Care
23952 S NORTHERN ILLINOIS DR
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
NPI 1134451594 (815) 467-4114
Divine Hospice & Palliative Care LLC
18 mi
Hospice Care, Community Based
234 GARDEN ST
Yorkville, IL 60560
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1437517547 (630) 553-8500

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 3

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
141 services49 patients
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.
65 services19 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.
25 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60410 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.

Referred Medical Equipment & Supplies CMS DME claims 15

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
3 suppliers12 claims32 services$3.70 avg. paid by Medicare
Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier21 claims21 services$5.66 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$8.99 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers26 claims50 services$7.16 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims365 services$4.11 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier190 claims5,363 services$6.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gustavo Pedraza's NPI number?

The NPI number for Gustavo Pedraza is 1194811943. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Gustavo Pedraza located?

Gustavo Pedraza practices at 25220 W Reed St, Channahon, IL 60410. The listed phone number is (815) 467-4114.

What is Gustavo Pedraza's specialty?

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

Is Gustavo Pedraza enrolled in Medicare?

Yes. Gustavo Pedraza 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 organizations bill Medicare for Gustavo Pedraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Pedraza reassigns Medicare benefits to 2 organizations: Gustavo A . Pedraza M.D., Ltd (Channahon, IL) and Divine Hospice & Palliative Care LLC (Yorkville, IL). Each 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 Gustavo Pedraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gustavo Pedraza affiliated with any hospitals?

According to CMS data, Gustavo Pedraza is affiliated with Presence Saint Joseph Medical Center, Morris Hospital & Healthcare Centers, University Of Illinois Hospital And Clinics, Presence St Marys Hospital and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Gustavo Pedraza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.