DR. ELIZABETH NORD FAHRENBACH M.D.
NPI 1609003557
Dermatology in Niles, IL
About Dr. Elizabeth Nord Fahrenbach M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH NORD FAHRENBACH M.D. (NPI 1609003557) is an individual dermatology provider in Niles, Illinois, licensed in Illinois (125.056349) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elizabeth Nord Fahrenbach M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Fahrenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Niles, IL 60714
- Reassigned Medicare billing, Illinois enrollment
- 4 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.
Areas of Expertise CMS Part B claims 32
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Amita Health Resurrection Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NILES, IL 60714
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 Elizabeth Fahrenbach's NPI number?
The NPI number for Elizabeth Fahrenbach is 1609003557. It was assigned to this individual provider in the NPPES registry on June 18, 2009.
Where is Elizabeth Fahrenbach located?
Elizabeth Fahrenbach practices at 7411 N Milwaukee Ave, Niles, IL 60714. The listed phone number is (773) 763-6000.
What is Elizabeth Fahrenbach's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Elizabeth Fahrenbach enrolled in Medicare?
Yes. Elizabeth Fahrenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elizabeth Fahrenbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Fahrenbach reassigns Medicare benefits to North Branch Dermatology LLC (Niles, IL). The 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 Elizabeth Fahrenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Fahrenbach affiliated with any hospitals?
According to CMS data, Elizabeth Fahrenbach is affiliated with Amita Health Resurrection Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Fahrenbach was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.