MR. NICHOLAS S PALUMBO R.D.
NPI 1861701500
Dietitian, Registered in Chicago, IL

Q: What is Nicholas Palumbo's NPI number?

The NPI number for Nicholas Palumbo is 1861701500. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Q: What is Nicholas Palumbo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Palumbo was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 29, 2010

2003 W FULTON ST, SUITE 105, CHICAGO, IL 60612(312) 850-3438(312) 638-9872 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Nicholas S Palumbo R.d. NPPES

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

MR. NICHOLAS S PALUMBO R.D. (NPI 1861701500) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164005341) and active in the NPI registry since September 2010. He maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1861701500

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMR. NICHOLAS S PALUMBOCredential: R.D.

Location Address2003 W FULTON ST, SUITE 105Chicago, IL 60612-2345

Mailing Address2003 W Fulton St, Suite 105Chicago, IL 60612-2345 · (312) 850-3438 · Fax (312) 638-9872

Phone(312) 850-3438

Fax(312) 638-9872

Sole ProprietorNo

Enumeration DateSeptember 29, 2010

Last NPPES UpdateJanuary 20, 2020

✔ NPI 1861701500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164005341

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2003 W FULTON ST, Chicago, IL 60612

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Secondary Practice Location 1

Location 1501 Sherman AveEvanston, IL 60202-2815 · Phone (224) 900-7562

Other Identifiers 2

Other164005341IL · License

Other248002576IL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas S Palumbo R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Palumbo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ad Medical Supply, Inc.

8.3 mi

Durable Medical Equipment & Medical Supplies

6160 N CICERO AVE STE 503
Chicago, IL 60646

Reassigned Medicare billing, Illinois enrollment
14 clinicians in this Medicare group

NPI 1629015904 (773) 292-1940

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

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

1,168 services347 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

130 services60 patients

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.

VANESSA ALICEA MATOS R.D.

Dietitian, Registered

2003 W FULTON ST, SUITE 105
CHICAGO, IL 60612

Cook County (312) 850-3438

SASHA JUNE R.D.

Dietitian, Registered

2003 W FULTON ST, STE 105
CHICAGO, IL 60612

Cook County (312) 850-3438

MICHAEL L FESSENDEN M.D.

Family Medicine

2003 W FULTON ST, 3RD FLOOR
CHICAGO, IL 60612

Cook County (773) 292-4800

ALISON MUSARACA RDN, LDN

Dietitian, Registered

2003 W FULTON ST
CHICAGO, IL 60612

Cook County (312) 850-3438

DR. MARY ANN KAMINSKI PHARMD, BCACP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2003 W FULTON ST, 402
CHICAGO, IL 60612

Cook County (312) 202-3500

CHARLOTTE GAMBLA

Dietitian, Registered

2003 W FULTON ST
CHICAGO, IL 60612

Cook County (312) 850-3438

MR. CARL V KNUTSEN R.PH.

Pharmacist

2003 W FULTON ST, SUITE 401
CHICAGO, IL 60612

Cook County (312) 222-8020

SUSAN PUSH RDNLDN

Dietitian, Registered

2003 W FULTON ST
CHICAGO, IL 60612

Cook County (312) 850-3438

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 Nicholas Palumbo's NPI number?

The NPI number for Nicholas Palumbo is 1861701500. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Nicholas Palumbo located?

Nicholas Palumbo practices at 2003 W Fulton St Suite 105, Chicago, IL 60612. The listed phone number is (312) 850-3438.

What is Nicholas Palumbo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nicholas Palumbo enrolled in Medicare?

Yes. Nicholas Palumbo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Palumbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Palumbo reassigns Medicare benefits to Ad Medical Supply, Inc. (Chicago, 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 Nicholas Palumbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Palumbo was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.