DR. PAOLA ANDREA PORTELA M.D.
NPI 1891917720
Pediatrics in Chicago, IL

Active since May 02, 2007PECOS Enrolled
3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800(773) 782-5042 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2020, Sep 29, 2020, Jan 30, 2020 (3 updates tracked since 2020).

About Dr. Paola Andrea Portela M.d. NPPES

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

DR. PAOLA ANDREA PORTELA M.D. (NPI 1891917720) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036123991) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Franklin, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891917720
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAOLA ANDREA PORTELACredential: M.D.
Location Address3600 W FULLERTON AVEChicago, IL 60647-2319
Mailing Address1909 Mallory Ln Ste 203, Suite 203Franklin, TN 37067-2842 · (773) 315-2200
Fax(773) 782-5042
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1891917720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in IL · 036123991 Licensed in TN · 74246
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3600 W FULLERTON AVE, Chicago, IL 60647

Secondary Practice Location 1

Location 11909 Mallory Ln Ste 203, Suite 203Franklin, TN 37067-2842 · Phone (773) 315-2200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Paola Andrea Portela M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517153786
PECOS Enrollment IDI20260514001023
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647
Family Medicine (Adolescent Medicine)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Counselor
3600 W FULLERTON AVE
CHICAGO, IL 60647
Dentist (Pediatric Dentistry)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Obstetrics & Gynecology
3600 W FULLERTON AVE
CHICAGO, IL 60647

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891917720, enumerated as an "individual" on May 02, 2007.

The provider is located at 3600 W FULLERTON AVE CHICAGO, IL 60647 and the phone number is (773) 782-2800.

Pediatrics with taxonomy code 208000000X.