FULTON PORTER III MD
NPI 1316944341
Internal Medicine in Hazel Crest, IL

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
17850 KEDZIE AVE, 3200, HAZEL CREST, IL 60429(708) 798-8112(708) 798-9016 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fulton Porter Iii Md NPPES

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

FULTON PORTER III MD (NPI 1316944341) is an individual internal medicine provider in Hazel Crest, Illinois, licensed in Illinois (036101229) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Northwestern University Feinberg Medical School (1993).

NPPES Registry Identity

NPI1316944341
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFULTON PORTER IIICredential: MD
Location Address17850 KEDZIE AVE, 3200Hazel Crest, IL 60429-2058
Mailing AddressPo Box 967Tinley Park, IL 60477-0967
Fax(708) 798-9016
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1993
Enumeration DateJuly 5, 2005
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
NPI 1316944341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036101229
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.

Also ListedHospitalistTaxonomy 208M00000X · License 01071861A (IN)
17850 KEDZIE AVE, Hazel Crest, IL 60429

Other Identifiers 2

Medicaid036101229IL
OtherP00439469/CK6882IL · Railroad Medicare

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

Fulton Porter Iii Md 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 ID7214903194
PECOS Enrollment IDI20130517000425
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$15.61 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
2 suppliers25 claims25 services$66.01 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 20

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

Clinic/Center (Primary Care)
17850 KEDZIE AVE, SUITE 1700
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Family Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Plastic Surgery
17850 KEDZIE AVE, SUITE 2200
HAZEL CREST, IL 60429
Clinic/Center (Federally Qualified Health Center (FQHC))
17850 KEDZIE AVE, SUITE 3200
HAZEL CREST, IL 60429
Ophthalmology
17850 KEDZIE AVE, DOCTORS PAVILION SUITE 1200
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 2100
HAZEL CREST, IL 60429
Thoracic Surgery (Cardiothoracic Vascular Surgery)
17850 KEDZIE AVE, SUITE 3000
HAZEL CREST, IL 60429

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 Fulton Porter's NPI number?

The NPI number for Fulton Porter is 1316944341. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Fulton Porter located?

Fulton Porter practices at 17850 Kedzie Ave 3200, Hazel Crest, IL 60429. The listed phone number is (708) 798-8112.

What is Fulton Porter's specialty?

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

Is Fulton Porter enrolled in Medicare?

Yes. Fulton Porter 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.

Is Fulton Porter affiliated with any hospitals?

According to CMS data, Fulton Porter is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Fulton Porter was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.