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ENKHTUYA GELEGDORJ
NPI 1265246144
Nurse Practitioner - Gerontology in Des Plaines, IL

Active since February 03, 2025PECOS EnrolledAccepts Medicare Assignment
706 HANBURY DR, DES PLAINES, IL 60016(773) 540-6561 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Enkhtuya Gelegdorj NPPES

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

ENKHTUYA GELEGDORJ (NPI 1265246144) is an individual gerontology provider in Des Plaines, Illinois, licensed in Illinois (209031550) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Community First Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265246144
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameENKHTUYA GELEGDORJ
Location Address706 HANBURY DRDes Plaines, IL 60016-1567
Mailing Address706 Hanbury DrDes Plaines, IL 60016-1567 · (773) 540-6561
Phone(773) 540-6561
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1265246144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209031550
706 HANBURY DR, Des Plaines, IL 60016
Open in Google Maps ↗

Accepted Insurance

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

Enkhtuya Gelegdorj 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 ID2466982871
PECOS Enrollment IDI20250213002603
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.

Hospital Affiliations CMS Care Compare

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

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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.

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 Enkhtuya Gelegdorj's NPI number?

The NPI number for Enkhtuya Gelegdorj is 1265246144. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Enkhtuya Gelegdorj located?

Enkhtuya Gelegdorj practices at 706 Hanbury Dr, Des Plaines, IL 60016. The listed phone number is (773) 540-6561.

What is Enkhtuya Gelegdorj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Enkhtuya Gelegdorj enrolled in Medicare?

Yes. Enkhtuya Gelegdorj 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 Enkhtuya Gelegdorj accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Enkhtuya Gelegdorj 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 Enkhtuya Gelegdorj affiliated with any hospitals?

According to CMS data, Enkhtuya Gelegdorj is affiliated with Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Enkhtuya Gelegdorj was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.