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: October 25, 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

Accepted 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Rosenblatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group

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 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.

Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Nurse Practitioner (Family)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Dietitian, Registered
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Dentist
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON 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 Jeffrey Rosenblatt's NPI number?

The NPI number for Jeffrey Rosenblatt is 1508283722. It was assigned to this individual provider in the NPPES registry on March 26, 2014. The provider is also known as Jeff Rosenblatt D.O..

Where is Jeffrey Rosenblatt located?

Jeffrey Rosenblatt practices at 5359 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 836-2785.

What is Jeffrey Rosenblatt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Rosenblatt enrolled in Medicare?

Yes. Jeffrey Rosenblatt 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 organization bills Medicare for Jeffrey Rosenblatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Rosenblatt reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, IL). The 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 Jeffrey Rosenblatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Rosenblatt accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jeffrey Rosenblatt 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 Jeffrey Rosenblatt was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.