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CAROL GARCIA MD
NPI 1801590674
Internal Medicine in Chicago, IL

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
251 E HURON ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Jun 19, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Carol Garcia Md NPPES

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

CAROL GARCIA MD (NPI 1801590674) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125.082663) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1801590674
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCAROL GARCIACredential: MD
Location Address251 E HURON STChicago, IL 60611-3055
Mailing Address251 E Huron StChicago, IL 60611-3055 · (312) 926-2000
Phone(312) 926-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2023
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1801590674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.082663
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036179167 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
251 E HURON ST, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1675 N Saint Clair St Ste 18-200Chicago, IL 60611-5929 · Phone (312) 695-8630 · Fax (312) 695-2857

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

Carol Garcia 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 ID7214396894
PECOS Enrollment IDI20260612000631
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 Carol Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
34 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

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.

MARK WANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Cook County (312) 503-8144
DR. MARLEY ANN DOYLE M/D.
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Cook County (312) 926-6895
CASSIDY SCHWAB MD
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 695-0061
SEONG PARK
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
EMMA WALLS GREEVER MD
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
NICOLE ELIZABETH TRUPIANO MD
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
ASHRAF SAMHAN MD
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
DR. SABINA SPIGNER MD, MS, MPH
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000

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 Carol Garcia's NPI number?

The NPI number for Carol Garcia is 1801590674. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Carol Garcia located?

Carol Garcia practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (312) 926-2000.

What is Carol Garcia's specialty?

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

Is Carol Garcia enrolled in Medicare?

Yes. Carol Garcia 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.

Which organization bills Medicare for Carol Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Garcia reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The 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 Carol Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carol Garcia affiliated with any hospitals?

According to CMS data, Carol Garcia is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carol Garcia was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.