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SUSAN J. ERLENBORN M.D.
NPI 1265524656
Internal Medicine in Chicago, IL

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
3219 W. CARROLL AVENUE, CHICAGO, IL 60624(872) 588-3000 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan J. Erlenborn M.d. NPPES

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

SUSAN J. ERLENBORN M.D. (NPI 1265524656) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-083283) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).

NPPES Registry Identity

NPI1265524656
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN J. ERLENBORNCredential: M.D.
Location Address3219 W. CARROLL AVENUEChicago, IL 60624-2031
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3131
Phone(872) 588-3000
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1989
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 12, 2015
✔ NPI 1265524656 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 · 036-083283
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.
3219 W. CARROLL AVENUE, Chicago, IL 60624
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Other Names 1

Other Name (5)Susan Erlenborn Gutierrez

Other Identifiers 1

Medicare UPINF42552IL

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

Susan J. Erlenborn 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 ID547482861
PECOS Enrollment IDI20141120001459
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 Susan Erlenborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawndale Christian Health Center
1.3 mi
Federally Qualified Health Center (FQHC)
3517 W ARTHINGTON ST
Chicago, IL 60624
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1326215450 (872) 588-3000

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 60624 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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 Susan Erlenborn's NPI number?

The NPI number for Susan Erlenborn is 1265524656. It was assigned to this individual provider in the NPPES registry on September 29, 2006. The provider is also known as Susan Erlenborn Gutierrez.

Where is Susan Erlenborn located?

Susan Erlenborn practices at 3219 W. Carroll Avenue, Chicago, IL 60624. The listed phone number is (872) 588-3000.

What is Susan Erlenborn's specialty?

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

Is Susan Erlenborn enrolled in Medicare?

Yes. Susan Erlenborn 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 Susan Erlenborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Erlenborn reassigns Medicare benefits to Lawndale Christian Health Center (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 Susan Erlenborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Erlenborn accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Susan Erlenborn 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 Susan Erlenborn was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.