MICHELLE LEMELMAN
NPI 1891058830
Pediatrics - Pediatric Endocrinology in Chicago, IL

NPI Status: Active since June 22, 2012

Contact Information

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (888) 824-0200

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Endocrinology
Accepts Insurance
PECOS Enrolled

About MICHELLE LEMELMAN

This page provides the complete NPI Profile along with additional information for Michelle Lemelman, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1891058830 assigned on June 2012. The practitioner's primary taxonomy code is 2080P0205X with license number 036137119 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1891058830
Provider Name: MICHELLE LEMELMAN
Gender: Female
Entity Type: Individual
Location Address: 5841 S MARYLAND AVE CHICAGO, IL 60637
Location Phone: (888) 824-0200
Mailing Address: 150 HARVESTER DR SUITE 300 BURR RIDGE, IL 60527
Is Sole Proprietor?: No
Enumeration Date: 06-22-2012
Last Update Date: 10-24-2022
Code Navigator

A pediatrician like Michelle Lemelman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Endocrinology
Taxonomy Code: 2080P0205X
Type: Allopathic & Osteopathic Physicians
License No.: 036137119
License State: IL
Taxonomy Description: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

Oscar Health Plan, Inc.

Bronze Classic Standard (Choice) - HMO
Gold Classic Standard (Choice) - HMO
Secure (Choice) - HMO
Silver Classic Standard (Choice) - HMO
Silver Simple Diabetes (Choice) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michelle Lemelman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60637 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $138.86
Minimum New Patient Price $60.08
Maximum New Patient Price $183.39

Average New Patient Copayment $34.71
Minimum New Patient Copayment $15.02
Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $105.7
Minimum Established Patient Price $18.97
Maximum Established Patient Price $148.12

Average Established Patient Copayment $26.42
Minimum Established Patient Copayment $4.74
Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	9	1	0	5	8	8	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	18	1	0	5	16	8	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 0 + 5 + 1 + 6 + 8 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1891058830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. ADAM BUCHANAN COCHRANE PHARM.D., BCPS

Pharmacist

(Pharmacotherapy)

5841 S MARYLAND AVE
MC 5026
CHICAGO, IL
ZIP 60637

About MICHELLE LEMELMAN

Location Map

Specialty - Primary Taxonomy

Pediatrics Pediatric Endocrinology

Insurance Plans Accepted

Aetna CVS Health

Oscar Health Plan, Inc.

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for MICHELLE LEMELMAN

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Michelle Lemelman's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Michelle Lemelman accept?