DOREEN VENTURA M.D.
NPI 1669735205
Internal Medicine - Nephrology in Downers Grove, IL

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
3825 HIGHLAND AVE, DOWNERS GROVE, IL 60515(630) 873-8889 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2023, Mar 15, 2021, Jul 12, 2017 (3 updates tracked since 2017).

About Doreen Ventura M.d. NPPES

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

DOREEN VENTURA M.D. (NPI 1669735205) is an individual nephrology provider in Downers Grove, Illinois, licensed in Illinois (036143643) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669735205
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDOREEN VENTURACredential: M.D.
Location Address3825 HIGHLAND AVEDowners Grove, IL 60515-1552
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1669735205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in IL · 036143643 Licensed in IA · MD42488
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3825 HIGHLAND AVE, Downers Grove, IL 60515

Other Identifiers 1

Medicaid036143643IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Doreen Ventura M.d. 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 ID446471643
PECOS Enrollment IDI20170731001316
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.

Areas of Expertise CMS Part B claims 23

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.
540 services169 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
507 services192 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
404 services182 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
367 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
357 services189 patients
Total protein level, urine 84156
The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.
327 services171 patients

Hospital Affiliations CMS Care Compare 3

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Internal Medicine (Interventional Cardiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Internal Medicine (Cardiovascular Disease)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Legal Medicine
3825 HIGHLAND AVE, SUITE 4B
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Urology
3825 HIGHLAND AVE, SUITE 207
DOWNERS GROVE, IL 60515
Internal Medicine (Infectious Disease)
3825 HIGHLAND AVE, TOWER I, SUITE 3F
DOWNERS GROVE, IL 60515
Internal Medicine (Clinical Cardiac Electrophysiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515

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 Doreen Ventura's NPI number?

The NPI number for Doreen Ventura is 1669735205. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Doreen Ventura located?

Doreen Ventura practices at 3825 Highland Ave, Downers Grove, IL 60515. The listed phone number is (630) 873-8889.

What is Doreen Ventura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Doreen Ventura enrolled in Medicare?

Yes. Doreen Ventura 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.

Is Doreen Ventura affiliated with any hospitals?

According to CMS data, Doreen Ventura is affiliated with Elmhurst Memorial Hospital, Northwestern Medicine Central Dupage Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Doreen Ventura was last updated on August 28, 2023. 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.