DR. JESSICA MARIE DIETHELM M.D.
NPI 1427232412
Internal Medicine in Chicago, IL

Active since December 26, 2007PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST, SUITE 263, CHICAGO, IL 60612(312) 942-6700(312) 942-3633 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jessica Marie Diethelm M.d. NPPES

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

DR. JESSICA MARIE DIETHELM M.D. (NPI 1427232412) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036118681) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Toledo College Of Medicine (2004).

NPPES Registry Identity

NPI1427232412
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JESSICA MARIE DIETHELMCredential: M.D.
Location Address1725 W HARRISON ST, SUITE 263Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 263Chicago, IL 60612-3841 · (312) 942-6700 · Fax (312) 942-3633
Fax(312) 942-3633
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2004
Enumeration DateDecember 26, 2007
Last NPPES UpdateMay 4, 2011
✔ NPI 1427232412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036118681
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.
Also ListedPediatricsTaxonomy 208000000X · License 036118681 (IL)
1725 W HARRISON ST, Chicago, IL 60612

Other Identifiers 1

Medicaid036118681IL

Accepted Insurance

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. Jessica Marie Diethelm 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 ID8628141983
PECOS Enrollment IDI20080718000505
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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
476 services287 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
133 services133 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services87 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services55 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
75 services19 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
74 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers40 claims137 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims43 services$1.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$67.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$32.22 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers19 claims1,890 services$0.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Medical Oncology)
1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612
Clinic/Center (Ophthalmologic Surgery)
1725 W HARRISON ST, STE 910
CHICAGO, IL 60612
Pediatrics (Pediatric Infectious Diseases)
1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612
Internal Medicine (Hematology)
1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612
Internal Medicine
1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612
Specialist
1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612
Specialist
1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612

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 Jessica Diethelm's NPI number?

The NPI number for Jessica Diethelm is 1427232412. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Jessica Diethelm located?

Jessica Diethelm practices at 1725 W Harrison St Suite 263, Chicago, IL 60612. The listed phone number is (312) 942-6700.

What is Jessica Diethelm's specialty?

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

Is Jessica Diethelm enrolled in Medicare?

Yes. Jessica Diethelm 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.

What insurance does Jessica Diethelm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jessica Diethelm 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 Jessica Diethelm affiliated with any hospitals?

According to CMS data, Jessica Diethelm is affiliated with Northshore University Healthsystem - Evanston Hospital, Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Diethelm was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.