TARA A DE JESUS M.D.
NPI 1477590651
Pediatrics in Chicago, IL
About Tara A De Jesus M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA A DE JESUS M.D. (NPI 1477590651) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036108171) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Tara A De Jesus 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tara De Jesus's NPI number?
The NPI number for Tara De Jesus is 1477590651. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Tara De Jesus located?
Tara De Jesus practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.
What is Tara De Jesus's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tara De Jesus enrolled in Medicare?
Yes. Tara De Jesus 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.
When was this NPI record last updated?
The NPPES record for Tara De Jesus was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tara A De Jesus, M.D. · NPI 1477590651
Pediatrics physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1477590651 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036108171 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3860 W OGDEN AVE, Chicago, IL 60623-2460
- **Phone:** (872) 588-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rush Medical College Of Rush University, class of 1999
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 336069630 (IL); Other 036108171 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1477590651) · Data from the CMS NPPES public registry.