PAUL DELBUSTO M.D.
NPI 1568567030
Internal Medicine - Rheumatology in Evergreen Park, IL

NPI Status: Active since September 13, 2006

Contact Information

2850 W 95TH ST
SUITE 200
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 423-1130
Fax: (708) 423-3610

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  • Individual
  • Male
  • Internal Medicine
  • Rheumatology
  • PECOS Enrolled

About PAUL DELBUSTO

This page provides the complete NPI Profile along with additional information for Paul Delbusto, an internist established in Evergreen Park, Illinois with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1568567030 assigned on September 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 036083298 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1568567030
Provider Name
PAUL DELBUSTO M.D.
Gender
Male
Entity Type
Individual
Location Address
2850 W 95TH ST SUITE 200 EVERGREEN PARK, IL 60805
Location Phone
(708) 423-1130
Location Fax
(708) 423-3610
Mailing Address
2850 W 95TH ST SUITE 200 EVERGREEN PARK, IL 60805
Mailing Phone
(708) 423-1130
Mailing Fax
(708) 423-3610
Is Sole Proprietor?
No
Enumeration Date
09-13-2006
Last Update Date
08-30-2010
Code Navigator

An internist like Paul Delbusto is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
036083298
License State
IL
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F71829MEDICARE UPIN (02)IL 
01632140OTHER (01)ILBCBS
036083298MEDICAID (05)IL 
66003637OTHER (01)ILRR MEDICARE
L99475MEDICARE ID-TYPE UNSPECIFIED (04)IL 

Medicare Participation & PECOS Enrollment Status

Paul Delbusto is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 74 times for 41 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 162 times for 129 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 437 times for 265 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 84 times for 52 patients

Injection, methylprednisolone acetate, 20 mg

Methylprednisolone acetate is a medication given via injection to reduce inflammation and pain. It's often used to treat conditions like arthritis, allergic reactions, and certain skin diseases. The 20 mg dose is tailored to your specific needs.

This service was performed 20 times for 11 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 62 times for 38 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 83 times for 69 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.86
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $34.71
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568567030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 0 + 6 + 1 + 4 + 0 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1568567030.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Family Medicine
2850 W 95TH ST, #304
EVERGREEN PARK, IL 60805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Urology
2850 W 95TH ST, SUITE 302
EVERGREEN PARK, IL 60805
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Physician Assistant (Surgical)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Psychiatry & Neurology (Psychiatry)
2850 W 95TH ST, SUITE 206
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 300
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 102
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine (Rheumatology)
2850 W 95TH ST, SUITE 200
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 306
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Gerontology)
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 12
EVERGREEN PARK, IL 60805
Clinic/Center (Medical Specialty)
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Internal Medicine (Cardiovascular Disease)
2850 W 95TH ST, SUITE 305
EVERGREEN PARK, IL 60805
Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568567030, enumerated as an "individual" on September 13, 2006.

The provider is located at 2850 W 95TH ST SUITE 200 EVERGREEN PARK, IL 60805 and the phone number is (708) 423-1130.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.