YELENA KALUGINA MD
NPI 1457380115
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.53/100
CMS Quality Rating
5145 N CALIFORNIA AVE, CHICAGO, IL 60625(773) 506-7093(773) 271-1501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Yelena Kalugina Md NPPES

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

YELENA KALUGINA MD (NPI 1457380115) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1457380115
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameYELENA KALUGINACredential: MD
Location Address5145 N CALIFORNIA AVEChicago, IL 60625-3661
Mailing Address5145 N California AveChicago, IL 60625-3661 · (773) 878-8200 · Fax (773) 271-1501
Fax(773) 271-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457380115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5145 N CALIFORNIA AVE, Chicago, IL 60625

Other Identifiers 1

Medicare UPINH97223

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

Yelena Kalugina Md 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 ID8123928058
PECOS Enrollment IDI20040108001150
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 25

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,904 services870 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
613 services145 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
295 services231 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
275 services252 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
214 services123 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
185 services174 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

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
$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.

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.

98.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability96
Improvement Activities40

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.

Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Nurse Practitioner
5145 N CALIFORNIA AVE, STE M276
CHICAGO, IL 60625
Internal Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Physician Assistant
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Emergency Medicine
5145 N CALIFORNIA AVE, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60625
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625

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 Yelena Kalugina's NPI number?

The NPI number for Yelena Kalugina is 1457380115. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Yelena Kalugina located?

Yelena Kalugina practices at 5145 N California Ave, Chicago, IL 60625. The listed phone number is (773) 506-7093.

What is Yelena Kalugina's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Yelena Kalugina enrolled in Medicare?

Yes. Yelena Kalugina 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.

Is Yelena Kalugina affiliated with any hospitals?

According to CMS data, Yelena Kalugina is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Yelena Kalugina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.