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SETH SCOTT HIMELHOCH MD, MPH
NPI 1659393569
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since July 24, 2006PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Mar 17, 2018, Dec 18, 2017 and 1 more (4 updates tracked since 2017).

About Seth Scott Himelhoch Md, Mph NPPES

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

SETH SCOTT HIMELHOCH MD, MPH (NPI 1659393569) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036170294) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659393569
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSETH SCOTT HIMELHOCHCredential: MD, MPH
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(773) 702-1000
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1659393569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036170294
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5841 S MARYLAND AVE, Chicago, IL 60637
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seth Scott Himelhoch Md, Mph 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Seth Himelhoch 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.

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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Seth Himelhoch's NPI number?

The NPI number for Seth Himelhoch is 1659393569. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Seth Himelhoch located?

Seth Himelhoch practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Seth Himelhoch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Seth Himelhoch enrolled in Medicare?

Yes. Seth Himelhoch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Seth Himelhoch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Himelhoch 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 Seth Himelhoch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Himelhoch accept?

Health plans from Oscar Health list Seth Himelhoch 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.

When was this NPI record last updated?

The NPPES record for Seth Himelhoch was last updated on July 3, 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.