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DR. ABRAHAN LARA-PACHECO MD
NPI 1639799109
General Practice in Chicago, IL

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE STE MC6098, CHICAGO, IL 60637(855) 702-8222(773) 753-0552 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2023, Mar 21, 2023, Apr 22, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Abrahan Lara-pacheco Md NPPES

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

DR. ABRAHAN LARA-PACHECO MD (NPI 1639799109) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036.164104) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burr Ridge, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639799109
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ABRAHAN LARA-PACHECOCredential: MD
Location Address5841 S MARYLAND AVE STE MC6098Chicago, IL 60637-1448
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(855) 702-8222
Fax(773) 753-0552
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 24, 2020
Last NPPES UpdateOctober 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1639799109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in IL · 036.164104✔ Licensed in CA · A176759
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License A176759 (CA)
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 036.164104 (IL)
5841 S MARYLAND AVE STE MC6098, Chicago, IL 60637
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Secondary Practice Location 1

Location 1180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · Phone (773) 702-1150

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. Abrahan Lara-pacheco Md 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 ID6901266410
PECOS Enrollment IDI20230719002869
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abrahan Lara-pacheco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
1,689 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044
Signify Health Medical Associates Of California, PC
1,860 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DESTINY KELLAM MD
Emergency Medicine (Hospice and Palliative Medicine)
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (855) 702-8222
DR. RAHBIA HUSSEIN MD
Internal Medicine
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-8840
MELISSA ANN MARINELLI M.D.
Internal Medicine (Hospice and Palliative Medicine)
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 834-4333
WENDY JUNE CHEN MD
Hospitalist
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-8840
SAMANTHA IKEDA ING
Internal Medicine (Geriatric Medicine)
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-0963
RYAN ETCHISON MD
Internal Medicine (Hospice and Palliative Medicine)
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-5700
PATRICIA LEE MD
Internal Medicine (Geriatric Medicine)
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-8840
DANIEL TZOU MD
Family Medicine
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL 60637
Cook County (773) 702-8840

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 Abrahan Lara-pacheco's NPI number?

The NPI number for Abrahan Lara-pacheco is 1639799109. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Abrahan Lara-pacheco located?

Abrahan Lara-pacheco practices at 5841 S Maryland Ave Ste Mc6098, Chicago, IL 60637. The listed phone number is (855) 702-8222.

What is Abrahan Lara-pacheco's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Abrahan Lara-pacheco enrolled in Medicare?

Yes. Abrahan Lara-pacheco 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 organizations bill Medicare for Abrahan Lara-pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abrahan Lara-pacheco reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Hemet, CA) and Signify Health Medical Associates Of California, PC (San Francisco, CA). Each 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 Abrahan Lara-pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abrahan Lara-pacheco was last updated on October 15, 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.