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DR. REYNALDO ELAZEGUI NEPOMUCENO M.D.
NPI 1447283692
Family Medicine in Bourbonnais, IL

Active since July 09, 2006
475 BROWN BLVD, SUITE 106, BOURBONNAIS, IL 60914(815) 937-8786(815) 937-2067 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Reynaldo Elazegui Nepomuceno M.d. NPPES

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

DR. REYNALDO ELAZEGUI NEPOMUCENO M.D. (NPI 1447283692) is an individual family medicine provider in Bourbonnais, Illinois, licensed in Illinois (036079397) and active in the NPI registry since July 2006. He maintains a secondary practice location in Bourbonnais.

NPPES Registry Identity

NPI1447283692
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REYNALDO ELAZEGUI NEPOMUCENOCredential: M.D.
Location Address475 BROWN BLVD, SUITE 106Bourbonnais, IL 60914-2325
Mailing Address475 Brown Blvd, Suite 106Bourbonnais, IL 60914-2325 · (815) 937-8786 · Fax (815) 937-2067
Phone(815) 937-8786
Fax(815) 937-2067
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1447283692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036079397
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
475 BROWN BLVD, Bourbonnais, IL 60914
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Secondary Practice Location 1

Location 1656 N Convent St Ste BBourbonnais, IL 60914-1393 · Phone (815) 936-5186

Other Identifiers 1

Medicaid036079397IL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
94%263 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%65 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%303 patients3/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
7%168 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWER PLAZA NEUROLOGY SC
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
MICHAEL JOHN SERGEANT SR. M.D.
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
DR. AVTAR K RAZDAN I M.D.
Pediatrics (Adolescent Medicine)
475 BROWN BLVD, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0003
DR. JENNIFER PABLO NEPOMUCENO M.D.
Family Medicine
475 BROWN BLVD, SUITE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8786
RETINA OF ILLINOIS, S.C.
Ophthalmology
475 BROWN BLVD, SUITE 109
BOURBONNAIS, IL 60914
Kankakee County (815) 802-2090
RIVERVIEW PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
475 BROWN BLVD, SUITE 105
BOURBONNAIS, IL 60914
Kankakee County (815) 933-1735
FIVE APPLES INPATIENT SPECIALISTS
Internal Medicine
475 BROWN BLVD, STE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 937-7962
DR. DAVID SCOTT CHUDWIN M.D.
Allergy & Immunology
475 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 933-5092

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 Reynaldo Nepomuceno's NPI number?

The NPI number for Reynaldo Nepomuceno is 1447283692. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Reynaldo Nepomuceno located?

Reynaldo Nepomuceno practices at 475 Brown Blvd Suite 106, Bourbonnais, IL 60914. The listed phone number is (815) 937-8786.

What is Reynaldo Nepomuceno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Reynaldo Nepomuceno was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.