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

Q: What is Theresa Navarrete's NPI number?

The NPI number for Theresa Navarrete is 1881034478. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Q: What is Theresa Navarrete's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Navarrete was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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: August 16, 2026.

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

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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 is a graduate of Rush Medical College Of Rush University (2013).

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

Phone(331) 221-0202

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

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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 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

Scored through an Alternative Payment Model

Quality

86.15

Promoting Interoperability

100

Improvement Activities

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.

DR. DANIEL STEVEN VRYHOF M.D.

Emergency Medicine