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TARA A DE JESUS M.D.
NPI 1477590651
Pediatrics in Chicago, IL

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Oct 22, 2021 (2 updates tracked since 2021).

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

NPI1477590651
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTARA A DE JESUSCredential: M.D.
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3229-43 W 47th Pl.Chicago, IL 60632-3011 · (773) 254-6044 · Fax (773) 254-6115
Phone(872) 588-3000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1999
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1477590651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036108171
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3860 W OGDEN AVE, Chicago, IL 60623
Open in Google Maps ↗

Other Identifiers 2

Other336069630IL · Cs License
Other036108171IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3678589702
PECOS Enrollment IDI20060228000155
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

2

Medicare enrollment records show Tara De Jesus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawndale Christian Health Center
Same address
Federally Qualified Health Center (FQHC)
3860 W OGDEN AVE
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1245289214 (773) 843-2705
Access Community Health Network
0.5 mi
Federally Qualified Health Center (FQHC)
3752 W 16TH ST
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1447321898 (773) 762-2435

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 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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.

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

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.

Which organizations bill Medicare for Tara De Jesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara De Jesus reassigns Medicare benefits to 2 organizations: Lawndale Christian Health Center (Chicago, IL) and Access Community Health Network (Chicago, 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 Tara De Jesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara De Jesus accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tara De Jesus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.