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DR. KATHRYN M PETRUNGARO M.D.
NPI 1558526186
Internal Medicine in Northbrook, IL

Active since July 23, 2008Opted out of Medicare · through Feb 1, 2028
400 SKOKIE BLVD STE 405, NORTHBROOK, IL 60062(224) 215-8585(224) 296-1951 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 7, 2025, Mar 19, 2020 (2 updates tracked since 2020).

About Dr. Kathryn M Petrungaro M.d. NPPES

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

DR. KATHRYN M PETRUNGARO M.D. (NPI 1558526186) is an individual internal medicine provider in Northbrook, Illinois, licensed in Illinois (036124573) and active in the NPI registry since July 2008. She has opted out of Medicare through February 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Lake Forest.

NPPES Registry Identity

NPI1558526186
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHRYN M PETRUNGAROCredential: M.D.
Location Address400 SKOKIE BLVD STE 405Northbrook, IL 60062-7904
Mailing Address600 Central Ave Ste 333Highland Park, IL 60035-5605 · (847) 535-7157 · Fax (312) 694-1700
Phone(224) 215-8585
Fax(224) 296-1951
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1558526186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036124573
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036124573 (IL)
400 SKOKIE BLVD STE 405, Northbrook, IL 60062
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 N Westmoreland RdLake Forest, IL 60045-1658 · Phone (847) 234-5600 · Fax (847) 535-7203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathryn M Petrungaro M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2022 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2022
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 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

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

THRIVE INTERNAL MEDICINE
Internal Medicine
400 SKOKIE BLVD STE 405
NORTHBROOK, IL 60062
Cook County (224) 215-8585

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 Kathryn Petrungaro's NPI number?

The NPI number for Kathryn Petrungaro is 1558526186. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Kathryn Petrungaro located?

Kathryn Petrungaro practices at 400 Skokie Blvd Ste 405, Northbrook, IL 60062. The listed phone number is (224) 215-8585.

What is Kathryn Petrungaro's specialty?

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

Is Kathryn Petrungaro enrolled in Medicare?

No. Kathryn Petrungaro has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathryn Petrungaro was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.