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ODISEO JIMENEZ
NPI 1629962428
Emergency Medicine in Chicago, IL

Active since June 05, 2025PECOS Enrolled
600 S PAULINA ST, CHICAGO, IL 60612(510) 386-5421 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Odiseo Jimenez NPPES

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

ODISEO JIMENEZ (NPI 1629962428) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.085992) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629962428
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameODISEO JIMENEZ
Location Address600 S PAULINA STChicago, IL 60612-3806
Mailing Address600 S Paulina StChicago, IL 60612-3806
Phone(510) 386-5421
Sole ProprietorNo
Enumeration DateJune 5, 2025
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1629962428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125.085992
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 S PAULINA ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odiseo Jimenez 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 60612 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 20

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

DR. JOSEPH ROBERT KREBS MD
Surgery
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (913) 544-6685
KAVANTISSA MONARAWILA KEPPETIPOLA MD
Neurological Surgery
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 942-7100
WANNA ZHANG M.D.
Hospitalist
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KAZUKI SAKAKURA
Neurological Surgery
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (628) 628-6309
AUDREY GOLDSTEIN
Student in an Organized Health Care Education/Training Program
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (931) 942-7100
KOBE PEREZ MD
Family Medicine
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 942-0312
DR. SCOTT D EBERLY MD
Emergency Medicine
600 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 942-5000
RAJ C SHAH M.D.
Family Medicine (Geriatric Medicine)
600 S PAULINA ST, SUITE 130
CHICAGO, IL 60612
Cook County (312) 942-3333

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 Odiseo Jimenez's NPI number?

The NPI number for Odiseo Jimenez is 1629962428. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Odiseo Jimenez located?

Odiseo Jimenez practices at 600 S Paulina St, Chicago, IL 60612. The listed phone number is (510) 386-5421.

What is Odiseo Jimenez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Odiseo Jimenez enrolled in Medicare?

Yes. Odiseo Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odiseo Jimenez was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.