TRIPLE G WELLNESS CORPORATION
NPI 1790673903
Internal Medicine in Chicago, IL

Active since June 26, 2025
613 E 67TH ST, CHICAGO, IL 60637(773) 435-9493 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Triple G Wellness Corporation NPPES

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

TRIPLE G WELLNESS CORPORATION (NPI 1790673903) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since June 2025. The organization lists Cornelius Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1790673903
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRIPLE G WELLNESS CORPORATION
Location Address613 E 67TH STChicago, IL 60637-4122
Mailing Address613 E 67th StChicago, IL 60637-4122 · (773) 435-9493
Organization SubpartNo
Authorized OfficialCornelius RogersOwner · (773) 435-9493
Enumeration DateJune 26, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1790673903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
613 E 67TH ST, Chicago, IL 60637

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Triple G Wellness Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Triple G Wellness Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1285644591
100 W 162ND ST
South Holland, IL 60473
(708) 730-2200
✔ PECOS12 mi

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 Triple G Wellness Corporation's NPI number?

The NPI number for Triple G Wellness Corporation is 1790673903. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Triple G Wellness Corporation located?

Triple G Wellness Corporation is located at 613 E 67th St, Chicago, IL 60637. The listed phone number is (773) 435-9493.

What is Triple G Wellness Corporation's specialty?

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

Is Triple G Wellness Corporation enrolled in Medicare?

Yes. Triple G Wellness Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triple G Wellness Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Triple G Wellness Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Triple G Wellness Corporation was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.