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PAMELA FENNEWALD MD
NPI 1912911991
Internal Medicine - Geriatric Medicine in Gurnee, IL

Active since July 28, 2006PECOS Enrolled
731 S ILLINOIS ROUTE 21, SUITE 130, GURNEE, IL 60031(847) 566-3337(847) 816-3166 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pamela Fennewald Md NPPES

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

PAMELA FENNEWALD MD (NPI 1912911991) is an individual geriatric medicine provider in Gurnee, Illinois, licensed in Illinois (036057870) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912911991
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NamePAMELA FENNEWALDCredential: MD
Location Address731 S ILLINOIS ROUTE 21, SUITE 130Gurnee, IL 60031-3813
Mailing Address731 S Illinois Route 21, Suite 130Gurnee, IL 60031-3813 · (847) 566-3337 · Fax (847) 816-3166
Phone(847) 566-3337
Fax(847) 816-3166
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 26, 2008
✔ NPI 1912911991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IL · 036057870
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
731 S ILLINOIS ROUTE 21, Gurnee, IL 60031
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Other Identifiers 6

Medicare ID-Type UnspecifiedL87332IL
Other04930281IL · Blue Cross Blue Shield
Medicare UPIN110233105IL
Medicare UPINB29241
Medicaid036057870IL
Medicare PIN916950IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Fennewald Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60031 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAE HAN - CHANG MD
Internal Medicine
731 S ILLINOIS ROUTE 21, SUITE 130
GURNEE, IL 60031
Lake County (847) 566-3337
DR. GERALD JAMES GAMALSKI MD
Internal Medicine
731 S ILLINOIS ROUTE 21, SUITE 130
GURNEE, IL 60031
Lake County (847) 566-3337
DEERPATH PHYSICIANS GROUP LTD
Internal Medicine
731 S ILLINOIS ROUTE 21, SUITE 130
GURNEE, IL 60031
Lake County (847) 566-3337

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 Pamela Fennewald's NPI number?

The NPI number for Pamela Fennewald is 1912911991. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Pamela Fennewald located?

Pamela Fennewald practices at 731 S Illinois Route 21 Suite 130, Gurnee, IL 60031. The listed phone number is (847) 566-3337.

What is Pamela Fennewald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Pamela Fennewald enrolled in Medicare?

Yes. Pamela Fennewald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Fennewald was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.