CARLOS JOHN MEDINA MD
NPI 1447007604
Psychiatry & Neurology - Psychiatry in North Chicago, IL

Q: What is Carlos Medina's NPI number?

The NPI number for Carlos Medina is 1447007604. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Q: What is Carlos Medina's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Medina was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 03, 2024PECOS Enrolled

3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 688-1900 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carlos John Medina Md NPPES

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

CARLOS JOHN MEDINA MD (NPI 1447007604) is an individual psychiatry provider in North Chicago, Illinois, licensed in Illinois (125.085928) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447007604

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCARLOS JOHN MEDINACredential: MD

Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048

Mailing Address3333 Green Bay RdNorth Chicago, IL 60064-3037

Phone(847) 688-1900

Sole ProprietorNo

Enumeration DateMay 3, 2024

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1447007604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 125.085928

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3001 GREEN BAY RD, North Chicago, IL 60064

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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)

Carlos John Medina 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 60064 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

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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. PHILIP CYRUS FANAPOUR DO

Anesthesiology (Critical Care Medicine)

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (224) 610-1900

MR. BIJU CHERIAN PA-C

Physician Assistant

3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064

Lake County (224) 610-8201

GAGANDEEP SINGH GROVER MD

Internal Medicine

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (847) 688-1900

SARA ELISE RINGLE RN

Registered Nurse

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (810) 494-1587

NEELPREET TOOR DO

Psychiatry & Neurology (Psychiatry)

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (847) 688-1900

BRANDON FLERES

Psychiatry & Neurology (Psychiatry)

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (847) 688-1900

SEMYON SHULMAN

Psychiatry & Neurology (Neurology)

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (847) 688-1900

MS. SHIRLEY ANN HOFFMAN MSW

Social Worker (Clinical)

3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Lake County (224) 610-5901

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 Carlos Medina's NPI number?

The NPI number for Carlos Medina is 1447007604. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Carlos Medina located?

Carlos Medina practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 688-1900.

What is Carlos Medina's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carlos Medina enrolled in Medicare?

Yes. Carlos Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Medina was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.