Individual provider Active NPI

Katherine Orengo Gomez, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1174083240
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036158679 Issued in IL
Practice address
2231 E 95TH St
Chicago, IL 60617-4804
Phone
(773) 768-7700
Fax
(773) 273-8915
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036158679 IL Primary

Addresses

Primary practice location

2231 E 95TH St
Chicago, IL 60617-4804

Mailing address

2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425000374 IL Practitioner - Internal Medicine 6406243328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

610 S Maple Ave
Suite 5500
Oak Park, IL 60304-2808
Phone (708) 660-5777

Hospital & facility affiliations

  • First Venture Home Health Care, Inc Home health agency, Arlington Heights, IL, CCN 148264
  • Astra Health Home health agency, Harwood Heights, IL, CCN 148259
  • Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center South Chicago, LLC CurrentSince Mar 6, 2022 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jun 1, 2022 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

75 Remittance Dr
Chicago, IL 60675

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

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.

Hospital & facility affiliations 6

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1174083240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-768-7700",
            "fax_number": "773-273-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-768-7700",
            "fax_number": "773-273-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENGO GOMEZ",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036158679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.