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DOUGLAS F PENATE M.D.
NPI 1326337395
Internal Medicine in Chicago, IL

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST, SUITE 2300, CHICAGO, IL 60611(312) 926-6000(312) 926-6332 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas F Penate M.d. NPPES

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

DOUGLAS F PENATE M.D. (NPI 1326337395) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036136084) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1326337395
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS F PENATECredential: M.D.
Location Address259 E ERIE ST, SUITE 2300Chicago, IL 60611-2987
Mailing Address259 E Erie St, Suite 2300Chicago, IL 60611-2987 · (312) 926-6000 · Fax (312) 926-6332
Phone(312) 926-6000
Fax(312) 926-6332
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateMay 16, 2016
✔ NPI 1326337395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036136084✔ Licensed in IL · 1326337395
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.
259 E ERIE ST, Chicago, IL 60611
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Other Identifiers 1

Medicare PINF400164746IL

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

Douglas F Penate 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 ID2163642190
PECOS Enrollment IDI20140925001331
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 11

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.

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.
374 services215 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.
243 services243 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.
80 services78 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
75 services73 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.
49 services48 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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
24 suppliers45 claims107 services$5.71 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier16 claims360 services$7.99 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims720 services$1.65 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers20 claims20 services$30.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers17 claims17 services$45.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$15.74 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.

DIANE MARIE HEIDMANN MD
Internal Medicine
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. VEHNIAH KRISTIN TJONG M.D.
Orthopaedic Surgery (Sports Medicine)
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
GRETCHEN YORK
Nurse Practitioner (Family)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (610) 212-4235
DR. TRACY B SORCE MD
Internal Medicine
259 E ERIE ST, STE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. CURT S KREVITZ DPM
Podiatrist
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
JI MIN KIM
Nurse Practitioner (Gerontology)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 695-4517

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 Douglas Penate's NPI number?

The NPI number for Douglas Penate is 1326337395. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Douglas Penate located?

Douglas Penate practices at 259 E Erie St Suite 2300, Chicago, IL 60611. The listed phone number is (312) 926-6000.

What is Douglas Penate's specialty?

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

Is Douglas Penate enrolled in Medicare?

Yes. Douglas Penate 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 Douglas Penate affiliated with any hospitals?

According to CMS data, Douglas Penate is affiliated with Palos Community Hospital, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Penate was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.