HUMBOLDT PARK HEALTH
NPI 1740417153
Family Medicine in Chicago, IL

Q: What is Humboldt Park Health's NPI number?

The NPI number for Humboldt Park Health is 1740417153. It was assigned to this organization in the NPPES registry on June 12, 2009.

Q: What is Humboldt Park Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 12, 2009

1044 N FRANCISCO AVE, CHICAGO, IL 60622(773) 292-8200(773) 278-3899 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2021, Jan 26, 2021, Jun 28, 2018 (3 updates tracked since 2018).

On this page

About Humboldt Park Health NPPES

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

HUMBOLDT PARK HEALTH (NPI 1740417153) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since June 2009. The organization lists Dorothy Cheryl Erins, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740417153

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHUMBOLDT PARK HEALTH

Location Address1044 N FRANCISCO AVEChicago, IL 60622

Mailing Address1044 N Francisco AveChicago, IL 60622-2743 · (773) 292-8200 · Fax (773) 278-3899

Phone(773) 292-8200

Fax(773) 278-3899

Organization SubpartNo

Authorized OfficialDorothy Cheryl ErinsCredentialing Specialist · (269) 244-5256

Enumeration DateJune 12, 2009

Last NPPES UpdateJune 10, 20213 updates tracked since enumeration

NPPES CertifiedJune 10, 2021

✔ NPI 1740417153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

1044 N FRANCISCO AVE, Chicago, IL 60622

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Humboldt Park Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

159

Medicare enrollment records show 159 clinicians reassign Medicare billing to Humboldt Park Health, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Diagnostic Radiology70

Family Practice15

General Surgery11

Nurse Practitioner11

Obstetrics/Gynecology11

Internal Medicine9

Gastroenterology3

Interventional Radiology3

19 other specialties26

Nearest to this location (20)

See all 159

Christine Heatley

Nurse Practitioner

NPI 1053181024

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOSSame address

Atul Nanda, MD

General Surgery

NPI 1033342837

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOS✔ Accepts MedicareSame address

Sammir Naser, MD, MPH

Family Practice

NPI 1336888668

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOS✔ Accepts MedicareSame address

Dina Pierre-Gray, PMHNP

Nurse Practitioner

NPI 1639743131

1044 N FRANCISCO AVE
Chicago, IL 60622

(312) 824-6777

✔ PECOS✔ Accepts MedicareSame address

Enrica Rossi, MD

Ophthalmology

NPI 1790775997

1044 N. FRANCISCO NORWEGIAN AMERICAN HOSPITAL
Chicago, IL 60622

(773) 292-8254

✔ PECOS✔ Accepts MedicareSame address

Samir Shahen, M.D.

Family Practice

NPI 1558773663

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOS✔ Accepts MedicareSame address

Lisa Tran, MD

Family Practice

NPI 1164051355

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOS✔ Accepts MedicareSame address

Stephanie Rancich, DNP, FNP-BC

Nurse Practitioner

NPI 1528948643

1044 N MOZART ST POB 100
Chicago, IL 60622

(773) 292-8383

✔ PECOS✔ Accepts MedicareSame address

Xavier Pareja, MD

Pain Management

NPI 1053379578

1044 N MOZART ST STE 405
Chicago, IL 60622

(773) 825-6549

✔ PECOS✔ Accepts MedicareSame address

Dagoberto Camacho, M.D.

Family Practice

NPI 1629201512

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOS✔ Accepts MedicareSame address

Ghanshyam Thakkar, M.D.

Obstetrics/Gynecology

NPI 1235196007

1044 N FRANCISCO AVE
Chicago, IL 60622

(773) 292-8200

✔ PECOSSame address

Jia Meng, MD

Family Practice

NPI 1922686856

1044 N MOZART ST STE 101
Chicago, IL 60622

(773) 292-8300

✔ PECOS✔ Accepts MedicareSame address

Arun Verma, M.D.

Gastroenterology

NPI 1871589143

1044 N MOZART ST
Chicago, IL 60622

(773) 292-8247

✔ PECOS✔ Accepts MedicareSame address

Annabel Punsalan, APN

Nurse Practitioner

NPI 1235673179

1120 N OAKLEY BLVD # B
Chicago, IL 60622

(773) 803-0430

✔ PECOS✔ Accepts Medicare0.8 mi

Aisha Jaleel, MD

Family Practice

NPI 1619968203

3240 W FRANKLIN BLVD
Chicago, IL 60624

(773) 854-7500

✔ PECOS✔ Accepts Medicare0.8 mi

Sagar Patel

Internal Medicine

NPI 1609379932

2233 W DIVISION ST
Chicago, IL 60622

(312) 770-2000

✔ PECOS✔ Accepts Medicare0.8 mi

Scott Phillips, MD

Dermatology

NPI 1053369967

1431 N CLAREMONT AVE
Chicago, IL 60622

(312) 633-5857

✔ PECOS✔ Accepts Medicare0.9 mi

Vijayalakshmi Arekapudi, M.D.

Obstetrics/Gynecology

NPI 1285622878

2222 W DIVISION ST STE 116
Chicago, IL 60622

(773) 525-7720

✔ PECOS✔ Accepts Medicare0.9 mi

Rita Zafra, MD

Obstetrics/Gynecology

NPI 1003080847

2004 N PULASKI RD
Chicago, IL 60639

(773) 772-8876

✔ PECOS✔ Accepts Medicare1.8 mi

Sarah Rowe, M.D.

Diagnostic Radiology

NPI 1740261304

1501 S CALIFORNIA AVE
Chicago, IL 60608

(773) 257-6498

✔ PECOS✔ Accepts Medicare2.8 mi

See all 159 clinicians

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

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 Humboldt Park Health's NPI number?

The NPI number for Humboldt Park Health is 1740417153. It was assigned to this organization in the NPPES registry on June 12, 2009.

Where is Humboldt Park Health located?

Humboldt Park Health is located at 1044 N Francisco Ave, Chicago, IL 60622. The listed phone number is (773) 292-8200.

What is Humboldt Park Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Humboldt Park Health enrolled in Medicare?

Yes. Humboldt Park Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Humboldt Park Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 159 clinicians in 27 Medicare specialties reassign their Medicare billing to Humboldt Park Health. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (70), Family Practice (15) and General Surgery (11). Of these, 11 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Humboldt Park Health was last updated on June 10, 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.