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JACQUELINE DEBORAH DAVID MD
NPI 1417016205
Internal Medicine in Evanston, IL

Active since December 07, 2006PECOS Enrolled
909 DAVIS ST, SUITE 200, EVANSTON, IL 60201(847) 866-3700(847) 866-5436 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Deborah David Md NPPES

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

JACQUELINE DEBORAH DAVID MD (NPI 1417016205) is an individual internal medicine provider in Evanston, Illinois, licensed in Illinois (036-066565) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417016205
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJACQUELINE DEBORAH DAVIDCredential: MD
Location Address909 DAVIS ST, SUITE 200Evanston, IL 60201-3645
Mailing Address2650 Ridge Ave, Evanston HospitalEvanston, IL 60201-1718 · (847) 570-1206 · Fax (847) 570-1248
Phone(847) 866-3700
Fax(847) 866-5436
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1417016205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-066565
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.
909 DAVIS ST, Evanston, IL 60201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Deborah David Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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 20

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

AFREEN NAZ PAPA MD
Internal Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 866-3700
ERIC O FERNANDEZ MD
Family Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 982-6710
CLAIRE PARMENTER DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DR. MARIAM R MOURAD PH.D.
Psychologist (Clinical)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6445
JENNIFER WRIGHT BS
Physical Therapy Assistant
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DAVID BELLISARIO DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DANIEL GIACOMO MD
Psychiatry & Neurology (Psychiatry)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6400
TEDDY HSU OT
Occupational Therapist
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906

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 Jacqueline David's NPI number?

The NPI number for Jacqueline David is 1417016205. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Jacqueline David located?

Jacqueline David practices at 909 Davis St Suite 200, Evanston, IL 60201. The listed phone number is (847) 866-3700.

What is Jacqueline David's specialty?

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

Is Jacqueline David enrolled in Medicare?

Yes. Jacqueline David is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline David was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.