BENJAMIN TOBIAS LEMELMAN M.D.
NPI 1427303635
Plastic Surgery in Chicago, IL

Q: What is Benjamin Lemelman's NPI number?

The NPI number for Benjamin Lemelman is 1427303635. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Q: What is Benjamin Lemelman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Lemelman was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment

5140 N CALIFORNIA AVE, CHICAGO, IL 60625(773) 293-8878 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Oct 5, 2023, Jan 5, 2022 and 2 more (5 updates tracked since 2019).

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About Benjamin Tobias Lemelman M.d. NPPES

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

BENJAMIN TOBIAS LEMELMAN M.D. (NPI 1427303635) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036147148) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427303635

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameBENJAMIN TOBIAS LEMELMANCredential: M.D.

Location Address5140 N CALIFORNIA AVEChicago, IL 60625-3645

Mailing Address5140 N California AveChicago, IL 60625-3645

Phone(773) 293-8878

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 13, 2012

Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1427303635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in IL · 036147148✔ Licensed in IN · 01090048A

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

5140 N CALIFORNIA AVE, Chicago, IL 60625

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Secondary Practice Locations 5

Location 13000 N Halsted St Ste 409Chicago, IL 60657-9268 · Phone (773) 281-9200 · Fax (773) 281-9201

Location 27530 W College Dr Ste DPalos Heights, IL 60463-1197 · Phone (708) 671-1374 · Fax (708) 671-1378

Location 31304 E 47th St Ste 200Chicago, IL 60653-4508 · Phone (773) 831-9190 · Fax (773) 633-2785

Location 43000 N HALSTED ST, STE 724CHICAGO, IL 60657-5196 · Phone (312) 789-4141

Location 510020 Donald S Powers DrMunster, IN 46321-4054 · Phone (219) 703-2423 · Fax (219) 703-6954

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Benjamin Tobias Lemelman 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 ID4183927049

PECOS Enrollment IDI20190904000917

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

Medicare enrollment records show Benjamin Lemelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Plastic Surgery, LLC

3.7 mi

Plastic Surgery

3000 N HALSTED ST STE 724
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment

NPI 1134880008 (312) 789-4141

Endeavor Health Medical Group

6.2 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

Community Care Network Inc

39 mi

Family Medicine

9660 WICKER AVE
St John, IN 46373

Reassigned Medicare billing, Indiana enrollment
607 clinicians in this Medicare group

NPI 1457610487 (219) 365-7620

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 60625 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

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.

DR. CHATHUSHKI BANDARA DO

Emergency Medicine

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

PIERCE MICHAEL PATERAKOS

Internal Medicine

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

DR. VASEEM QURESHI M.D.

Internal Medicine (Nephrology)

5140 N CALIFORNIA AVE, SUITE 700
CHICAGO, IL 60625

Cook County (773) 784-2101

DR. WASAY HUMAYUN M.D.

Family Medicine

5140 N CALIFORNIA AVE, STE 700
CHICAGO, IL 60625

Cook County (773) 784-2101

DR JOSEPH S KIM DPM

Podiatrist (Foot & Ankle Surgery)

5140 N CALIFORNIA AVE, STE 515
CHICAGO, IL 60625

Cook County (773) 989-1699

DR. MORGAN CLEM DO

Hospitalist

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (217) 836-1376

LLOYD QUINN YOUNG

Podiatrist (Foot & Ankle Surgery)

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

SHANNON SIKKILA N.P.

Nurse Practitioner (Adult Health)

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 293-4178

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 Benjamin Lemelman's NPI number?

The NPI number for Benjamin Lemelman is 1427303635. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Benjamin Lemelman located?

Benjamin Lemelman practices at 5140 N California Ave, Chicago, IL 60625. The listed phone number is (773) 293-8878.

What is Benjamin Lemelman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Benjamin Lemelman enrolled in Medicare?

Yes. Benjamin Lemelman 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 Benjamin Lemelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lemelman reassigns Medicare benefits to 3 organizations: One Plastic Surgery, LLC (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Community Care Network Inc (St John, IN). 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 Benjamin Lemelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Lemelman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Benjamin Lemelman 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 Benjamin Lemelman was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.