NICOLE M. COLUCCI D.O.
NPI 1295735017
Emergency Medicine in Chicago, IL

Q: What is Nicole Colucci's NPI number?

The NPI number for Nicole Colucci is 1295735017. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Nicole Colucci's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Colucci was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment

5645 W ADDISON ST, OUR LADY OF THE RESURRECTION HOSPITAL, CHICAGO, IL 60634(773) 282-7000(773) 794-7664 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole M. Colucci D.o. NPPES

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

NICOLE M. COLUCCI D.O. (NPI 1295735017) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036102891) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1996).

NPPES Registry Identity

NPI1295735017

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameNICOLE M. COLUCCICredential: D.O.

Location Address5645 W ADDISON ST, OUR LADY OF THE RESURRECTION HOSPITALChicago, IL 60634-4403

Mailing Address520 E 22nd StLombard, IL 60148-6110 · (630) 874-2542 · Fax (630) 874-2642

Phone(773) 282-7000

Fax(773) 794-7664

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1996

Enumeration DateJuly 22, 2005

Last NPPES UpdateJuly 28, 2009

✔ NPI 1295735017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036102891

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5645 W ADDISON ST, Chicago, IL 60634

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Other Identifiers 1

Medicare UPINH46324IL

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

Nicole M. Colucci D.o. 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 ID2466431424

PECOS Enrollment IDI20040714001397

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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

278 services268 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

146 services141 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

82 services78 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140117

Location7435 W Talcott AvenueChicago, IL 60631 · Cook County

Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60634 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 20

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

DR. AARON DANIEL KALLSNICK M.D.

Anesthesiology