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SHMUEL PRICE DO
NPI 1356922272
Hospitalist in Chicago, IL

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
6212 N LINCOLN AVE, CHICAGO, IL 60659(443) 602-6260 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2025, Feb 5, 2025, Jun 17, 2024 and 1 more (4 updates tracked since 2021).

About Shmuel Price Do NPPES

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

SHMUEL PRICE DO (NPI 1356922272) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036167073) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356922272
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHMUEL PRICECredential: DO
Location Address6212 N LINCOLN AVEChicago, IL 60659-2208
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(443) 602-6260
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1356922272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036167073
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036167073 (IL)
6212 N LINCOLN AVE, Chicago, IL 60659
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12631 W Jerome StChicago, IL 60645-1407 · Phone (443) 602-6260
Location 25841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Shmuel Price Do 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 ID9133521537
PECOS Enrollment IDI20240704000038
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

5

Medicare enrollment records show Shmuel Price reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cmc Healthcare LLC
2.8 mi
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
NPI 1295432334 (773) 831-5021
Trio Health Medical Il Np Partners PLLC
2.8 mi
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 73 clinicians in this Medicare group
NPI 1497637011 (773) 831-5021
Trio Health Medical Il Psychiatry Partners PLLC
2.8 mi
Psychiatry
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1831071646 (773) 831-5021
The University Of Chicago Medical Center
15 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
15 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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

Areas of Expertise CMS Part B claims 6

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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
276 services52 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
147 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
94 services70 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
61 services58 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services19 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 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.

Other Providers at the Same Location NPPES

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

DR PRICE MEDICAL SC
Internal Medicine
6212 N LINCOLN AVE, SUITE 5
CHICAGO, IL 60659
Cook County (443) 602-6260

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 Shmuel Price's NPI number?

The NPI number for Shmuel Price is 1356922272. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Shmuel Price located?

Shmuel Price practices at 6212 N Lincoln Ave, Chicago, IL 60659. The listed phone number is (443) 602-6260.

What is Shmuel Price's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shmuel Price enrolled in Medicare?

Yes. Shmuel Price 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 organizations bill Medicare for Shmuel Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shmuel Price reassigns Medicare benefits to 5 organizations: Cmc Healthcare LLC (Evanston, IL), Trio Health Medical Il Np Partners PLLC (Evanston, IL), Trio Health Medical Il Psychiatry Partners PLLC (Evanston, IL), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Shmuel Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shmuel Price accept?

Health plans from Oscar Health list Shmuel Price as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shmuel Price affiliated with any hospitals?

According to CMS data, Shmuel Price is affiliated with Presence Saint Joseph Medical Center and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shmuel Price was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.