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JENNIFER LIEDEL MD
NPI 1336299379
Pediatrics - Pediatric Critical Care Medicine in Burr Ridge, IL

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527(773) 834-4064 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Liedel Md NPPES

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

JENNIFER LIEDEL MD (NPI 1336299379) is an individual pediatric critical care medicine provider in Burr Ridge, Illinois, licensed in Illinois (036102039) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1336299379
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameJENNIFER LIEDELCredential: MD
Location Address180 HARVESTER DR STE 110Burr Ridge, IL 60527-6686
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102
Phone(773) 834-4064
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJanuary 31, 2019
✔ NPI 1336299379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IL · 036102039
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
180 HARVESTER DR STE 110, Burr Ridge, IL 60527
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Other Identifiers 1

Medicaid036102039IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Liedel 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 ID547215766
PECOS Enrollment IDI20190213002906
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 Reassignment

Medicare enrollment records show Jennifer Liedel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
863 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHAD T WHELAN MD
Hospitalist
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
DAVID O MELTZER MD
Hospitalist
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 702-1150
RICHARD M DEMAY MD
Pathology (Anatomic Pathology)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
RUTH R RUDINSKY MD
Pediatrics (Pediatric Hematology-Oncology)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ALAN R LEFF MD
Internal Medicine (Pulmonary Disease)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ANMOL PATEL MD, MPH
Student in an Organized Health Care Education/Training Program
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 702-1150
WICKII VIGNESWARAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064
ANDREA SHASHOUA MD
Anesthesiology
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
Dupage County (773) 834-4064

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 Jennifer Liedel's NPI number?

The NPI number for Jennifer Liedel is 1336299379. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Jennifer Liedel located?

Jennifer Liedel practices at 180 Harvester Dr Ste 110, Burr Ridge, IL 60527. The listed phone number is (773) 834-4064.

What is Jennifer Liedel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jennifer Liedel enrolled in Medicare?

Yes. Jennifer Liedel 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.

Which organization bills Medicare for Jennifer Liedel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Liedel reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Jennifer Liedel'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 Jennifer Liedel was last updated on January 31, 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.