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CHARLES ALLAN PRATT M.D.
NPI 1417084229
Pediatrics - Pediatric Gastroenterology in Chicago, IL

Active since February 28, 2007PECOS Enrolled
225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Allan Pratt M.d. NPPES

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

CHARLES ALLAN PRATT M.D. (NPI 1417084229) is an individual pediatric gastroenterology provider in Chicago, Illinois, licensed in Illinois (036133956) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417084229
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameCHARLES ALLAN PRATTCredential: M.D.
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago Ave Ste 567Chicago, IL 60611-2991 · (312) 227-4000
Phone(800) 543-7362
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1417084229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in IL · 036133956
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
225 E CHICAGO AVE, Chicago, IL 60611
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Secondary Practice Locations 2

Location 1300 Randall RdGeneva, IL 60134-4200 · Phone (800) 543-7362
Location 225 N Winfield RdWinfield, IL 60190-1379 · Phone (800) 543-7362

Other Identifiers 1

Medicaid036133956IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Allan Pratt M.d. 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.

Medicare Billing Reassignment

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

Lurie Children's Medical Group Inc
Same address
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

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

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.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 Charles Pratt's NPI number?

The NPI number for Charles Pratt is 1417084229. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Charles Pratt located?

Charles Pratt practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (800) 543-7362.

What is Charles Pratt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Charles Pratt enrolled in Medicare?

Yes. Charles Pratt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Pratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Pratt reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). 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 Charles Pratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Pratt accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Charles Pratt 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.

When was this NPI record last updated?

The NPPES record for Charles Pratt was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.