DR. THERESA A. NAVARRETE MD
NPI 1881034478
Emergency Medicine in Elmhurst, IL

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
155 E BRUSH HILL RD, EMERGENCY MEDICINE, ELMHURST, IL 60126(331) 221-0202(331) 221-3777 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2025, Aug 15, 2023, Mar 2, 2017 (3 updates tracked since 2017).

About Dr. Theresa A. Navarrete Md NPPES

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

DR. THERESA A. NAVARRETE MD (NPI 1881034478) is an individual emergency medicine provider in Elmhurst, Illinois, licensed in Illinois (036140816) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1881034478
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. THERESA A. NAVARRETECredential: MD
Location Address155 E BRUSH HILL RD, EMERGENCY MEDICINEElmhurst, IL 60126-5658
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 250-2040 · Fax (847) 570-5315
Fax(331) 221-3777
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2013
Enumeration DateJune 27, 2013
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1881034478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036140816
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

155 E BRUSH HILL RD, Elmhurst, IL 60126

Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-5375

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

Dr. Theresa A. Navarrete 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 ID8426354333
PECOS Enrollment IDI20160801002549
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
263 services257 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
214 services203 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
108 services105 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.15
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pathology (Anatomic Pathology & Clinical Pathology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pathology (Anatomic Pathology & Clinical Pathology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pathology (Anatomic Pathology & Clinical Pathology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pharmacist
155 E BRUSH HILL RD, SUITE D1543
ELMHURST, IL 60126
Pharmacist
155 E BRUSH HILL RD, SUITE D1543
ELMHURST, IL 60126
Pharmacist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Nurse Practitioner (Adult Health)
155 E BRUSH HILL RD, B3204
ELMHURST, IL 60126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881034478, enumerated as an "individual" on June 27, 2013.

The provider is located at 155 E BRUSH HILL RD EMERGENCY MEDICINE ELMHURST, IL 60126 and the phone number is (331) 221-0202.

Emergency Medicine with taxonomy code 207P00000X.

Theresa Navarrete is affiliated with: ELMHURST MEMORIAL HOSPITAL.