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DOMINIQUE V AZARCON PA-C
NPI 1780918920
Physician Assistant in Park Ridge, IL

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
1420 RENAISSANCE DR, SUITE 207, PARK RIDGE, IL 60068(847) 296-6161(847) 296-6262 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique V Azarcon Pa-c NPPES

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

DOMINIQUE V AZARCON PA-C (NPI 1780918920) is an individual physician assistant in Park Ridge, Illinois, licensed in Illinois (085-003546) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and maintains a secondary practice location in Elk Grove Village.

NPPES Registry Identity

NPI1780918920
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIQUE V AZARCONCredential: PA-C
Location Address1420 RENAISSANCE DR, SUITE 207Park Ridge, IL 60068-1330
Mailing Address1420 Renaissance Dr, Suite 207Park Ridge, IL 60068-1330 · (847) 296-6161 · Fax (847) 296-6262
Phone(847) 296-6161
Fax(847) 296-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 21, 2009
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1780918920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-003546
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1420 RENAISSANCE DR, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 1800 Biesterfield Rd Ste 610Elk Grove Village, IL 60007-3362 · Phone (847) 981-3630

Accepted Insurance

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

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

Dominique V Azarcon Pa-c 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 ID4981735149
PECOS Enrollment IDI20100701000718
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 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,011 services161 patients
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.
200 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
92 services11 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
53 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services26 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140180
Location2233 W Division StChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims944 services$0.37 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.

MICHAEL S. SIEGFRIED M.D.
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE #307
PARK RIDGE, IL 60068
Cook County (847) 803-1000
JOHN V. PHILLIPS M.D.
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE #307
PARK RIDGE, IL 60068
Cook County (847) 803-1000
OMNAK SERVICES
Non-emergency Medical Transport (VAN)
1420 RENAISSANCE DR, SUITE 301-C
PARK RIDGE, IL 60068
Cook County (312) 469-8314
MARIA R. DEVRIES M.D.
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE #307
PARK RIDGE, IL 60068
Cook County (847) 803-1000
JOHN KLIMEDIOTIS S.C.
Chiropractor
1420 RENAISSANCE DR, SUITE 207
PARK RIDGE, IL 60068
Cook County (847) 296-0505
DAVID H. OKRENT M.D.
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE #307
PARK RIDGE, IL 60068
Cook County (847) 803-1000
DR. ELISA A LAURENT MD
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE #307
PARK RIDGE, IL 60068
Cook County (847) 803-1000
HONG ANDY PARK M.D.
Radiology (Diagnostic Radiology)
1420 RENAISSANCE DR, SUITE 307
PARK RIDGE, IL 60068
Cook County (847) 803-1000

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 Dominique Azarcon's NPI number?

The NPI number for Dominique Azarcon is 1780918920. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Dominique Azarcon located?

Dominique Azarcon practices at 1420 Renaissance Dr Suite 207, Park Ridge, IL 60068. The listed phone number is (847) 296-6161.

What is Dominique Azarcon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dominique Azarcon enrolled in Medicare?

Yes. Dominique Azarcon 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.

What insurance does Dominique Azarcon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dominique Azarcon 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 Dominique Azarcon affiliated with any hospitals?

According to CMS data, Dominique Azarcon is affiliated with Amita Health Resurrection Medical Center and Presence Saints Mary And Elizabeth Medical Center.

When was this NPI record last updated?

The NPPES record for Dominique Azarcon was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.