ROBERTO GARCIA MD
NPI 1508847872
Emergency Medicine in Carol Stream, IL

Active since November 14, 2005PECOS Enrolled
1452 PLUM GROVE CT, CAROL STREAM, IL 60188(630) 372-2433 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roberto Garcia Md NPPES

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

ROBERTO GARCIA MD (NPI 1508847872) is an individual emergency medicine provider in Carol Stream, Illinois and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508847872
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERTO GARCIACredential: MD
Location Address1452 PLUM GROVE CTCarol Stream, IL 60188-4845
Mailing Address1452 Plum Grove CtCarol Stream, IL 60188-4845 · (630) 372-2433
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1508847872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1452 PLUM GROVE CT, Carol Stream, IL 60188

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto Garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Roberto Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
118 N WALNUT ST
Assumption, IL 62510
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1942326970 (Illinois)
  • 98 clinicians in this Medicare group
Critical Access
705 S GRAND ST
Nashville, IL 62263
  • Reassigned Medicare billing, Illinois enrollment
  • 33 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 60188 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Roberto Garcia's NPI number?

The NPI number for Roberto Garcia is 1508847872. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Roberto Garcia located?

Roberto Garcia practices at 1452 Plum Grove Ct, Carol Stream, IL 60188. The listed phone number is (630) 372-2433.

What is Roberto Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Roberto Garcia enrolled in Medicare?

Yes. Roberto Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberto Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Garcia reassigns Medicare benefits to 2 organizations: Pana Community Hospital Association (Assumption, IL) and Washington County Hospital District (Nashville, 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 Roberto Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roberto Garcia was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.