DR. ANTHONY DEL PRIORE M.D.
NPI 1275888216
Internal Medicine in Chicago, IL

Q: What is Anthony Del Priore's NPI number?

The NPI number for Anthony Del Priore is 1275888216. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Anthony Del Priore's specialty?

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

Active since July 16, 2012PECOS Enrolled

2600 S MICHIGAN AVE STE 305, CHICAGO, IL 60616(312) 371-7951(312) 624-9401 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2024, Nov 15, 2023, Apr 14, 2021 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Anthony Del Priore M.d. NPPES

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

DR. ANTHONY DEL PRIORE M.D. (NPI 1275888216) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036.137711) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275888216

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANTHONY DEL PRIORECredential: M.D.

Location Address2600 S MICHIGAN AVE STE 305Chicago, IL 60616-2857

Mailing Address2600 S Michigan Ave Ste 305Chicago, IL 60616-2857 · (312) 371-7951 · Fax (312) 624-9401

Phone(312) 371-7951

Fax(312) 624-9401

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 16, 2012

Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1275888216 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 · 036.137711

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.

2600 S MICHIGAN AVE STE 305, Chicago, IL 60616

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Del Priore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931429388

PECOS Enrollment IDI20150526002207, I20250428000949, I20260223001214

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

Medicare enrollment records show Anthony Del Priore reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medico PLLC

Same address

Internal Medicine

2600 S MICHIGAN AVE STE 305
Chicago, IL 60616

Reassigned Medicare billing, Illinois enrollment
9 clinicians in this Medicare group

NPI 1225613219 (312) 371-7951

Switch Medical PLLC

Same address

Internal Medicine

2600 S MICHIGAN AVE # 305
Chicago, IL 60616

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1003754060 (312) 371-7951

Insight Chicago, Inc.

0.2 mi

Internal Medicine

2525 S MICHIGAN AVE
Chicago, IL 60616

Reassigned Medicare billing, Illinois enrollment
354 clinicians in this Medicare group

NPI 1881261006 (312) 567-2000

Mpac Texas, PLLC

6.4 mi

Nurse Practitioner

3000 N HALSTED ST STE 803
Chicago, IL 60657

Reassigned Medicare billing, Texas enrollment
16 clinicians in this Medicare group

NPI 1215813910 (312) 447-1941

Midwest Post Acute Care Aco PLLC

6.5 mi

Nurse Practitioner

3000 N HALSTED ST STE 803
Chicago, IL 60657

Reassigned Medicare billing, Illinois and Indiana enrollments
34 clinicians in this Medicare group

NPI 1457926537 (888) 705-8722

Midwest Post Acute Care PLLC

6.5 mi

Nurse Practitioner

3000 N HALSTED ST STE 803
Chicago, IL 60657

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1083012074 (888) 705-8722

Illinois Post-Acute Medical Services 1 PC

15 mi

Hospitalist

15 SALT CREEK LN
Hinsdale, IL 60521

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1952830853 (865) 693-1000

Inpatient Consultants Of Illinois, P.C.

15 mi

Hospitalist

15 SALT CREEK LN, SUITE 111
Hinsdale, IL 60521

Reassigned Medicare billing, Illinois enrollment
108 clinicians in this Medicare group

NPI 1548442569 (630) 371-0133

Cs Pacs 3 Il, S.C.

17 mi

Hospitalist

1001 N GREENWOOD AVE
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
44 clinicians in this Medicare group

NPI 1598577124 (847) 692-5600

Cs Pacs 3 Midwest LLC

235 mi

Hospitalist

1001 E ALEX BELL RD
Dayton, OH 45459

Reassigned Medicare billing, Illinois enrollment
43 clinicians in this Medicare group

NPI 1972368785 (937) 436-9700

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 32

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,101 services33 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

1,079 services33 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

685 services103 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

516 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

469 services166 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

422 services79 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

302 services158 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

211 services114 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

149 services98 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

131 services85 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

127 services84 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

107 services96 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

87 services52 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

57 services53 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

52 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

47 services43 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

43 services43 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

42 services26 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

35 services28 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

34 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

31 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

31 services31 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

30 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

23 services23 patients

Advance care planning, first 30 minutes 99497

22 services22 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

22 services22 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

21 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services18 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services16 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Insight Hospital And Medical Center Chicago

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140158

Location2525 S Michigan AveChicago, IL 60616 · Cook County

Emergency services

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

16%44 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

5 suppliers13 claims40 services$5.49 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims19 services$1.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers23 claims23 services$62.79 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims780 services$0.29 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$36.43 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers28 claims28 services$23.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MEDICO PLLC

Internal Medicine

2600 S MICHIGAN AVE STE 305
CHICAGO, IL 60616

Cook County (312) 371-7951

FIDDLE LEAF HEALTH ARKANSAS LLC

Preventive Medicine (Public Health & General Preventive Medicine)

2600 S MICHIGAN AVE STE 305
CHICAGO, IL 60616

Cook County (312) 371-7951

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 Anthony Del Priore's NPI number?

The NPI number for Anthony Del Priore is 1275888216. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Anthony Del Priore located?

Anthony Del Priore practices at 2600 S Michigan Ave Ste 305, Chicago, IL 60616. The listed phone number is (312) 371-7951.

What is Anthony Del Priore's specialty?

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

Is Anthony Del Priore enrolled in Medicare?

Yes. Anthony Del Priore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Del Priore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Del Priore reassigns Medicare benefits to 12 organizations: Medico PLLC (Chicago, IL), Switch Medical PLLC (Chicago, IL), Insight Chicago, Inc. (Chicago, IL), Mpac Texas, PLLC (Chicago, IL), Midwest Post Acute Care Aco PLLC (Chicago, IL) and 7 more organizations, listed in the Medicare section above. 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 Anthony Del Priore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Del Priore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anthony Del Priore 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 Anthony Del Priore affiliated with any hospitals?

According to CMS data, Anthony Del Priore is affiliated with Rush University Medical Center, Insight Hospital And Medical Center Chicago and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Anthony Del Priore was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.