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DR. VASYL HEREHA MD
NPI 1649761842
Family Medicine - Hospice and Palliative Medicine in Chicago, IL

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-6760(312) 770-3270 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2021, May 23, 2018 (2 updates tracked since 2018).

About Dr. Vasyl Hereha Md NPPES

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

DR. VASYL HEREHA MD (NPI 1649761842) is an individual hospice and palliative medicine provider in Chicago, Illinois, licensed in Illinois (036.155475) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649761842
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. VASYL HEREHACredential: MD
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-6760
Fax(312) 770-3270
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 23, 2018
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1649761842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in IL · 036.155475
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.071809 (IL)
5841 S MARYLAND AVE # MC1052, Chicago, IL 60637
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Accepted Insurance

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

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. Vasyl Hereha 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 ID6608123450
PECOS Enrollment IDI20220906001382
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 Vasyl Hereha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
89 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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. DERRIUS J. ANDERSON MD
Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-2500
JI SOO KIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-0529
DR. CANDACE WILSON MD
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
MEGHAM TWISS
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-4281
MELISSA YUWONO TJOTA MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-7708
MICHEAL EZEANA
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
FRAZER TESSEMA MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-1447
BREANNA CHANDLER MD
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-0820

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 Vasyl Hereha's NPI number?

The NPI number for Vasyl Hereha is 1649761842. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Vasyl Hereha located?

Vasyl Hereha practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 702-6760.

What is Vasyl Hereha's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Vasyl Hereha enrolled in Medicare?

Yes. Vasyl Hereha 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 Vasyl Hereha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vasyl Hereha reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Vasyl Hereha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vasyl Hereha accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vasyl Hereha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vasyl Hereha affiliated with any hospitals?

According to CMS data, Vasyl Hereha is affiliated with The University Of Chicago Medical Center and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vasyl Hereha was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.