SEREN MICHELLE GEDALLOVICH
NPI 1548764939
Internal Medicine in Chicago, IL

Q: What is Seren Gedallovich's NPI number?

The NPI number for Seren Gedallovich is 1548764939. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Seren Gedallovich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Seren Gedallovich was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 20, 2018PECOS Enrolled

251 E HURON ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2018, Mar 20, 2018 (2 updates tracked since 2018).

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About Seren Michelle Gedallovich NPPES

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

SEREN MICHELLE GEDALLOVICH (NPI 1548764939) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125072084) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548764939

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSEREN MICHELLE GEDALLOVICH

Location Address251 E HURON STChicago, IL 60611-3055

Mailing Address251 E Huron StChicago, IL 60611-3055

Phone(312) 926-2000

Sole ProprietorNo

Enumeration DateMarch 20, 2018

Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration

✔ NPI 1548764939 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 · 125072084

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.

251 E HURON ST, Chicago, IL 60611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seren Michelle Gedallovich 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$61.89 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$32.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MARK WANG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611

Cook County (312) 503-8144

DR. MARLEY ANN DOYLE M/D.

Psychiatry & Neurology (Psychiatry)

251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611

Cook County (312) 926-6895

CASSIDY SCHWAB MD

Anesthesiology