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

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
2210 W 95TH ST, CHICAGO, IL 60643(773) 341-3500(773) 341-6064 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Aug 14, 2025 (2 updates tracked since 2025).

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

Accepted Insurance

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

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.

Medicare Billing Reassignment

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

Advocate Health & Hospitals Corporation
2.9 mi
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900

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 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
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 341-3500
JOSHUA THOMAS ROSE DPT
Physical Therapist
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 341-3500
JENNIFER E ARTEAGA DPT
Physical Therapist
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 881-5750
TIFFANY ALLYSON ANTHONY MD
Family Medicine
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 341-3500
VANESSA CORTEZ PHARMD
Pharmacist (Ambulatory Care)
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 341-3500
ALEXANDRA BOUTSIKAKIS
Physical Therapist
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 881-5750
VINCENT LAI
Physical Therapist
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 881-5750
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Clinic/Center (Multi-Specialty)
2210 W 95TH ST
CHICAGO, IL 60643
Cook County (773) 881-5750

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 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.

Where is Briyana Domjahn located?

Briyana Domjahn practices at 2210 W 95th St, Chicago, IL 60643. The listed phone number is (773) 341-3500.

What is Briyana Domjahn's specialty?

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

Is Briyana Domjahn enrolled in Medicare?

Yes. Briyana Domjahn 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 Briyana Domjahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Briyana Domjahn reassigns Medicare benefits to Advocate Health & Hospitals Corporation (Oak Lawn, 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 Briyana Domjahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Briyana Domjahn accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Briyana Domjahn 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 Briyana Domjahn was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.