DR. WALTER RUBEN PLASENCIA M.D.
NPI 1497715908
Internal Medicine in Chicago, IL

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
5939 W DIVERSEY AVE, CHICAGO, IL 60639(773) 637-1600(773) 637-1520 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Walter Ruben Plasencia M.d. NPPES

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

DR. WALTER RUBEN PLASENCIA M.D. (NPI 1497715908) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036092042) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1497715908
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WALTER RUBEN PLASENCIACredential: M.D.
Location Address5939 W DIVERSEY AVEChicago, IL 60639-1155
Mailing Address5939 W Diversey AveChicago, IL 60639-1155 · (773) 637-1600 · Fax (773) 637-2733
Fax(773) 637-1520
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 27, 2006
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1497715908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036092042
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5939 W DIVERSEY AVE, Chicago, IL 60639

Other Identifiers 1

Medicaid036092042IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Walter Ruben Plasencia 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 ID4284729294
PECOS Enrollment IDI20071005000552
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 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.

Other Providers at the Same Location NPPES 3

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

Pediatrics
5939 W DIVERSEY AVE
CHICAGO, IL 60639
Internal Medicine
5939 W DIVERSEY AVE
CHICAGO, IL 60639
Pediatrics
5939 W DIVERSEY AVE
CHICAGO, IL 60639

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 Walter Plasencia's NPI number?

The NPI number for Walter Plasencia is 1497715908. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Walter Plasencia located?

Walter Plasencia practices at 5939 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 637-1600.

What is Walter Plasencia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Walter Plasencia enrolled in Medicare?

Yes. Walter Plasencia 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 Walter Plasencia was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.