Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ADELIS R ARIAS JIMENEZ MD
NPI 1558833202
Family Medicine in Chicago, IL

Active since December 19, 2018PECOS Enrolled
4417 W DIVERSEY AVE, CHICAGO, IL 60639(773) 377-7736(815) 642-5723 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, May 24, 2023, Dec 19, 2018 (3 updates tracked since 2018).

About Dr. Adelis R Arias Jimenez Md NPPES

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

DR. ADELIS R ARIAS JIMENEZ MD (NPI 1558833202) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.177721) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558833202
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADELIS R ARIAS JIMENEZCredential: MD
Location Address4417 W DIVERSEY AVEChicago, IL 60639-1923
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 377-7736 · Fax (312) 929-0373
Fax(815) 642-5723
Sole ProprietorNo
Enumeration DateDecember 19, 2018
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1558833202 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 · 036.177721
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.
4417 W DIVERSEY AVE, Chicago, IL 60639

Other Names 1

Former Name (1)Adelis Rafael Jimenez

Secondary Practice Locations 2

Location 11819 N Harlem AveChicago, IL 60707-3716 · Phone (773) 589-4385 · Fax (872) 228-8601
Location 24848 W Irving Park RdChicago, IL 60641-2718 · Phone (773) 724-6200 · Fax (773) 866-8015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Adelis R Arias Jimenez 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.

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.

Other Providers at the Same Location NPPES 12

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

Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Nurse Practitioner (Family)
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Social Worker (Clinical)
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Internal Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Internal Medicine
4417 W DIVERSEY 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 Adelis Arias Jimenez's NPI number?

The NPI number for Adelis Arias Jimenez is 1558833202. It was assigned to this individual provider in the NPPES registry on December 19, 2018. The provider is also known as Adelis Rafael Jimenez.

Where is Adelis Arias Jimenez located?

Adelis Arias Jimenez practices at 4417 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 377-7736.

What is Adelis Arias Jimenez's specialty?

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

Is Adelis Arias Jimenez enrolled in Medicare?

Yes. Adelis Arias Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adelis Arias Jimenez was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.