BRIYANA TEAGUE DOMJAHN MD - NPI 1215687801 - Family Medicine in Chicago, IL

Q: What is Briyana Domjahn's NPI number?

The NPI number for Briyana Domjahn is 1215687801. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Briyana Domjahn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Briyana Domjahn was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Briyana Teague Domjahn Md NPPES

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

BRIYANA TEAGUE DOMJAHN MD (NPI 1215687801) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.176.193) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rush Medical College Of Rush University (2022).

NPPES Registry Identity

NPI1215687801

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBRIYANA TEAGUE DOMJAHNCredential: MD

Location Address2210 W 95TH STChicago, IL 60643-1002

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(773) 341-3500

Fax(773) 341-6064

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2022

Enumeration DateMarch 25, 2022

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1215687801 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 · 036.176.193

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.

2210 W 95TH ST, Chicago, IL 60643

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Secondary Practice Location 1

Location 14600 N Ravenswood AveChicago, IL 60640-4510 · Phone (773) 561-7500 · Fax (773) 561-7612

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

Briyana Teague Domjahn 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 ID8224511027

PECOS Enrollment IDI20260310003719

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 60643 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY TUAZON PHARMD, BCPS

Pharmacist