DR. JACOB LAGENE RORABAUGH MD
NPI 1659865632
Internal Medicine in Chicago, IL

Q: What is Jacob Rorabaugh's NPI number?

The NPI number for Jacob Rorabaugh is 1659865632. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Jacob Rorabaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Rorabaugh was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment

2355 S WESTERN AVE, CHICAGO, IL 60608(773) 254-1400 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2025, Aug 26, 2021, Jun 21, 2018 (3 updates tracked since 2018).

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About Dr. Jacob Lagene Rorabaugh Md NPPES

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

DR. JACOB LAGENE RORABAUGH MD (NPI 1659865632) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036157873) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659865632

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACOB LAGENE RORABAUGHCredential: MD

Location Address2355 S WESTERN AVEChicago, IL 60608-3837

Mailing Address2026 W 22nd PlChicago, IL 60608-4114 · (208) 713-8237

Phone(773) 254-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 21, 2018

Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1659865632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036157873

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2355 S WESTERN AVE, Chicago, IL 60608

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Secondary Practice Location 1

Location 1966 W 21st StChicago, IL 60608-4511 · Phone (773) 254-1400

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. Jacob Lagene Rorabaugh 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 ID2961753504

PECOS Enrollment IDI20211008002800

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 Reassignment

Medicare enrollment records show Jacob Rorabaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alivio Medical Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

2355 S. WESTERN AVE.
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
39 clinicians in this Medicare group

NPI 1710096482 (773) 254-1400

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 60608 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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 2

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 suppliers34 claims76 services$3.89 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier25 claims25 services$0.63 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 20

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

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