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DAVID OMAR HENRIQUEZ TICAS M.D.
NPI 1922539055
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
710 N FAIRBANKS CT STE 2-458, CHICAGO, IL 60611(312) 926-3211(312) 503-8259 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Mar 21, 2017 (2 updates tracked since 2017).

About David Omar Henriquez Ticas M.d. NPPES

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

DAVID OMAR HENRIQUEZ TICAS M.D. (NPI 1922539055) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois (036164840) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1922539055
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDAVID OMAR HENRIQUEZ TICASCredential: M.D.
Location Address710 N FAIRBANKS CT STE 2-458Chicago, IL 60611-3013
Mailing Address1 Baylor Plz, Mc 315Houston, TX 77030-3411 · (713) 798-5490
Phone(312) 926-3211
Fax(312) 503-8259
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1922539055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 036164840
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
710 N FAIRBANKS CT STE 2-458, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Baylor Plz, MC 315Houston, TX 77030-3411 · Phone (713) 798-5490

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

David Omar Henriquez Ticas M.d. 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 ID1759790645
PECOS Enrollment IDI20230817000169
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 10

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.

Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
339 services38 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
153 services105 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
150 services51 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
67 services65 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
60 services33 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
56 services17 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

QINWEN MAO MD
Pathology (Anatomic Pathology & Clinical Pathology)
710 N FAIRBANKS CT STE 2-458
CHICAGO, IL 60611
Cook County (214) 590-8058
DR. DAVID MICHAEL WATERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
710 N FAIRBANKS CT STE 2-458
CHICAGO, IL 60611
Cook County (312) 926-3211
POUYA JAMSHIDI MD
Pathology (Neuropathology)
710 N FAIRBANKS CT STE 2-458
CHICAGO, IL 60611
Cook County (312) 926-3211
SAMUEL E WEINBERG
Pathology (Immunopathology)
710 N FAIRBANKS CT STE 2-458
CHICAGO, IL 60611
Cook County (312) 926-3211

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 David Henriquez Ticas's NPI number?

The NPI number for David Henriquez Ticas is 1922539055. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is David Henriquez Ticas located?

David Henriquez Ticas practices at 710 N Fairbanks Ct Ste 2-458, Chicago, IL 60611. The listed phone number is (312) 926-3211.

What is David Henriquez Ticas's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is David Henriquez Ticas enrolled in Medicare?

Yes. David Henriquez Ticas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is David Henriquez Ticas affiliated with any hospitals?

According to CMS data, David Henriquez Ticas is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Henriquez Ticas was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.