JENNIFER MORENO MD - NPI 1922739341 - Pediatrics in Chicago, IL

Q: What is Jennifer Moreno's NPI number?

The NPI number for Jennifer Moreno is 1922739341. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Q: What is Jennifer Moreno's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moreno was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

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About Jennifer Moreno Md NPPES

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

JENNIFER MORENO MD (NPI 1922739341) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125080514) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).

NPPES Registry Identity

NPI1922739341

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJENNIFER MORENOCredential: MD

Location Address3750 W OGDEN AVEChicago, IL 60623-2426

Mailing Address600 S Paulina StChicago, IL 60612-3806 · (312) 942-7100

Phone(872) 233-7681

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021

Enumeration DateJune 17, 2022

Last NPPES UpdateAugust 8, 2025

NPPES CertifiedAugust 8, 2025

✔ NPI 1922739341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125080514

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.

3750 W OGDEN AVE, Chicago, IL 60623

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Secondary Practice Location 1

Location 1600 S Paulina StChicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2163922485

PECOS Enrollment IDI20260430002649

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 60623 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 9

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

CAROL CANADA

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