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CARLOS KELLENBERGER MD
NPI 1306061122
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since April 16, 2007PECOS Enrolled
4250 N MARINE DR, APT 502, CHICAGO, IL 60613(773) 935-0199 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Kellenberger Md NPPES

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

CARLOS KELLENBERGER MD (NPI 1306061122) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036-057301) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1306061122
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCARLOS KELLENBERGERCredential: MD
Location Address4250 N MARINE DR, APT 502Chicago, IL 60613-1744
Mailing Address4250 N Marine Dr, Apt 502Chicago, IL 60613-1744 · (773) 935-0199
Phone(773) 935-0199
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1306061122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036-057301
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4250 N MARINE DR, Chicago, IL 60613
Open in Google Maps ↗

Secondary Practice Location 1

Location 14441 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 600-6859

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Kellenberger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Carlos Kellenberger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uhs Of Savannah LLC
775 mi
Psychiatric Hospital
633 STEPHENSON AVE
Savannah, GA 31405
  • Reassigned Medicare billing, Georgia enrollment
  • 21 clinicians in this Medicare group
NPI 1427292333 (912) 692-4124
Hhc St. Simons Inc
821 mi
Psychiatric Hospital
2927 DEMERE RD
Saint Simons Island, GA 31522
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1972557916 (912) 638-1999
County Of Fresno
1,747 mi
Mental Health (Including Community Mental Health Center)
1925 E DAKOTA AVE
Fresno, CA 93726
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
NPI 1770538001 (559) 600-9058

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 60613 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

BETH ONEIL INC
Social Worker (Clinical)
4250 N MARINE DR, 804
CHICAGO, IL 60613
Cook County (773) 230-7811
PAWEL S DUDEK M.D.
Psychiatry & Neurology (Psychiatry)
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 404-0160
CLARE TUCKER WILDES
Social Worker (Clinical)
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 404-0160
THERAPEUTIC COUNSELING SERVICES
Psychiatry & Neurology (Psychiatry)
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 404-0160
MISS DIANA YATES LCSW
Social Worker (Clinical)
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 680-0320
ABDOL HOSSEINIAN MD
Obstetrics & Gynecology
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 404-0160
CATHERINE LIND
Nurse Practitioner (Family)
4250 N MARINE DR, APT 515
CHICAGO, IL 60613
Cook County (312) 330-0573
PAWEL S. DUDEK, M.D., S.C.
Psychiatry & Neurology (Psychiatry)
4250 N MARINE DR, SUITE 236
CHICAGO, IL 60613
Cook County (773) 404-0160

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 Carlos Kellenberger's NPI number?

The NPI number for Carlos Kellenberger is 1306061122. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Carlos Kellenberger located?

Carlos Kellenberger practices at 4250 N Marine Dr Apt 502, Chicago, IL 60613. The listed phone number is (773) 935-0199.

What is Carlos Kellenberger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carlos Kellenberger enrolled in Medicare?

Yes. Carlos Kellenberger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Kellenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Kellenberger reassigns Medicare benefits to 3 organizations: Uhs Of Savannah LLC (Savannah, GA), Hhc St. Simons Inc (Saint Simons Island, GA) and County Of Fresno (Fresno, CA). 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 Carlos Kellenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Kellenberger was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.