DR. JEFFREY ROSENBLATT D.O.
NPI 1508283722
Family Medicine in Chicago, IL

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785(773) 836-7381 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2021, Mar 17, 2018, Jul 13, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jeffrey Rosenblatt D.o. NPPES

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

DR. JEFFREY ROSENBLATT D.O. (NPI 1508283722) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.142230) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508283722
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY ROSENBLATTCredential: D.O.
Location Address5359 W FULLERTON AVEChicago, IL 60639-1450
Mailing Address240 E Huron St, Mcgaw Pavillon Suite 1-200Chicago, IL 60611-2909 · (312) 503-7975 · Fax (312) 503-5230
Fax(773) 836-7381
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateApril 29, 20214 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1508283722 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 · 036.142230
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.

5359 W FULLERTON AVE, Chicago, IL 60639

Other Names 1

Other Name (5)Jeff Rosenblatt D.o.

Secondary Practice Location 1

Location 12750 W North AveChicago, IL 60647-5247 · Phone (312) 432-4556 · Fax (773) 235-5804

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. Jeffrey Rosenblatt D.o. 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 ID7618248691
PECOS Enrollment IDI20170809003145
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.

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
$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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Dentist
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE, PCC SALUD FAMILY HEALTH CENTER
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Dietitian, Registered
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508283722, enumerated as an "individual" on March 26, 2014.

The provider is located at 5359 W FULLERTON AVE CHICAGO, IL 60639 and the phone number is (773) 836-2785.

Family Medicine with taxonomy code 207Q00000X.