Active NPI
Robert P Decresce, MD
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036066410
- Practice address
- 1653 W Congress Pkwy
Chicago, IL 60612-3833 - Phone
- (312) 942-5700
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036066410 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036066410 | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080104000451 | IL | Practitioner - Pathology | 5092708883 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Columbia University College of Physicians and Surgeons, 1975
- Medicare assignment
- May accept Medicare assignment
- Group practices
- University Pathology Diagnostics SC
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5000
Hospital & facility affiliations
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathology Diagnostics SC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University Pathologists P C | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Associates of Aurora LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Solstas Lab Partners LLC | Past | Accepting new patients |
Locations
1653 W Congress Pkwy
Ste 570
Chicago, IL 60612
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1003890534
Anatomic Pathology & Clinical Pathology, IL
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1275088130
Anatomic Pathology & Clinical Pathology, IL
-
- Anatomic Pathology & Clinical Pathology Physician
- Aurora, IL
- NPI 1427370956
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- Roanoke, VA
- NPI 1427515857
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1114902814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECRESCE",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036066410",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036066410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.