DR. DOMINIC EDWARD FULLENKAMP M.D.
NPI 1356769236
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
251 E HURON ST, GALTER 3-150, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: January 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2017, Sep 27, 2016 (2 updates tracked since 2016).

About Dr. Dominic Edward Fullenkamp M.d. NPPES

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

DR. DOMINIC EDWARD FULLENKAMP M.D. (NPI 1356769236) is an individual cardiovascular disease provider in Chicago, Illinois, licensed in Illinois (036141808) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Northwestern University Feinberg Medical School (2014).

NPPES Registry Identity

NPI1356769236
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DOMINIC EDWARD FULLENKAMPCredential: M.D.
Location Address251 E HURON ST, GALTER 3-150Chicago, IL 60611-2908
Mailing Address251 E Huron St, Galter 3-150Chicago, IL 60611-2908 · (312) 926-2000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateJanuary 14, 20172 updates tracked since enumeration
NPI 1356769236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036141808
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

251 E HURON ST, Chicago, IL 60611

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

Dr. Dominic Edward Fullenkamp 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 ID2567751530
PECOS Enrollment IDI20210609001648
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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 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.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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 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
$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.

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

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.

Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611

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 Dominic Fullenkamp's NPI number?

The NPI number for Dominic Fullenkamp is 1356769236. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Dominic Fullenkamp located?

Dominic Fullenkamp practices at 251 E Huron St Galter 3-150, Chicago, IL 60611. The listed phone number is (312) 926-2000.

What is Dominic Fullenkamp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Dominic Fullenkamp enrolled in Medicare?

Yes. Dominic Fullenkamp 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 Dominic Fullenkamp affiliated with any hospitals?

According to CMS data, Dominic Fullenkamp is affiliated with Palos Community Hospital, Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Fullenkamp was last updated on January 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.