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

CLEMEN O GONZALEZ VASQUEZ M.D.
NPI 1609302900
Family Medicine in Chicago, IL

Q: What is Clemen Gonzalez Vasquez's NPI number?

The NPI number for Clemen Gonzalez Vasquez is 1609302900. It was assigned to this individual provider in the NPPES registry on May 5, 2017. The provider is also known as Clemen Gonzalez.

Q: What is Clemen Gonzalez Vasquez's specialty?

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

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment

1649 N PULASKI RD, CHICAGO, IL 60639(773) 278-6868(773) 278-6922 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Apr 15, 2021 (2 updates tracked since 2021).

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About Clemen O Gonzalez Vasquez M.d. NPPES

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

CLEMEN O GONZALEZ VASQUEZ M.D. (NPI 1609302900) is an individual family medicine provider in Chicago, Illinois, licensed in Maryland (D0106075) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Presence Saints Mary And Elizabeth Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1609302900

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLEMEN O GONZALEZ VASQUEZCredential: M.D.

Location Address1649 N PULASKI RDChicago, IL 60639-5207

Mailing Address1649 N Pulaski RdChicago, IL 60639-5207 · (773) 278-6868 · Fax (773) 278-6922

Phone(773) 278-6868

Fax(773) 278-6922

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 5, 2017

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1609302900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MD · D0106075✔ Licensed in IL · 036.152519

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.

1649 N PULASKI RD, Chicago, IL 60639

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Other Names 1

Other Name (5)Clemen Gonzalez

Secondary Practice Location 1

Location 18830 Belair RdBaltimore, MD 21236-2401 · Phone (410) 529-9200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clemen O Gonzalez Vasquez 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.

PECOS PAC ID4880954031

PECOS Enrollment IDI20200722000979

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.

Areas of Expertise CMS Part B claims

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

59 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140180

Location2233 W Division StChicago, IL 60622 · Cook County

Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims49 services$5.70 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 8

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

MRS. PAULETTE Y. JARRETT-RODNEY FNP

Nurse Practitioner (Family)