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DR. KATHERINA RENATE BOETTGE MD
NPI 1427686963
Surgery - Surgical Oncology in Chicago, IL

Active since March 30, 2020PECOS Enrolled
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Mar 30, 2020 (2 updates tracked since 2020).

About Dr. Katherina Renate Boettge Md NPPES

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

DR. KATHERINA RENATE BOETTGE MD (NPI 1427686963) is an individual surgical oncology provider in Chicago, Illinois, licensed in Illinois (036169765) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427686963
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. KATHERINA RENATE BOETTGECredential: MD
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address1525 Spiced Wine Ave Unit 23102Henderson, NV 89074-0181 · (702) 773-6176
Phone(866) 600-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2020
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1427686963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in IL · 036169765
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1740 W TAYLOR ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 12653 W Ogden Ave Fl 3Chicago, IL 60608-1647 · Phone (773) 257-6701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherina Renate Boettge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921422114
PECOS Enrollment IDI20260529003229
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

3

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

Board Of Trustees Of The University Of Illinois
Same address
Anesthesiology
1740 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1013136282 (312) 996-4020
Mount Sinai Community Foundation Dba Sinai Medical Group
1.0 mi
Family Medicine
1859 S BLUE ISLAND AVE
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1407264583 (773) 738-3111
Prime Healthcare Illinois Medical Group LLC
15 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464

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 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Katherina Boettge's NPI number?

The NPI number for Katherina Boettge is 1427686963. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Katherina Boettge located?

Katherina Boettge practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Katherina Boettge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Katherina Boettge enrolled in Medicare?

Yes. Katherina Boettge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherina Boettge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherina Boettge reassigns Medicare benefits to 3 organizations: Board Of Trustees Of The University Of Illinois (Chicago, IL), Mount Sinai Community Foundation Dba Sinai Medical Group (Chicago, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Katherina Boettge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherina Boettge was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.