Individual provider Active NPI

Piyanuch Pahn Pataramekin, D.O.

  • Pulmonary Disease Physician
  • Elk Grove Village, IL
National Provider Identifier
1184997314
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036145923 Issued in IL
Practice address
800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone
(847) 981-3660
NPI assigned
Feb 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036145923 IL
Internal Medicine Physician 207R00000X 263196 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036145923 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 263196 MA
Pulmonary Disease Physician 207RP1001X 263196 MA
Pulmonary Disease Physician 207RP1001X 036145923 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367

Mailing address

800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone (847) 981-3660

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
I20180719002899 IL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2062769128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2845 N Sheridan Rd
Chicago, IL 60657-7227

2900 N Lake Shore Dr
Chicago, IL 60657-5640

331 W Surf St
Chicago, IL 60657-7227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263196MAMDCritical Care Medicine (Internal Medicine) Physician
036145923ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Mar 1, 2020 Accepting new patients
Alexian Brothers Medical Care Group NFP Critical Care Medicine CurrentSince Jun 1, 2022 Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Alexian Brothers Medical Care Group NFP Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

62311 Collection Ctr Dr
Chicago, IL 60693

331 W Surf St
Ste 710
Chicago, IL 60657

800 Biesterfield Rd
Ste 510
Elk Grove Vlg, IL 60007
Phone (847) 981-3360

9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633

Interoperability endpoints

  • Direct secure messaging: ppataramekin116766@direct.nch.org

Organizations & group practices 6

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 1

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": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1184997314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATARAMEKIN",
        "first_name": "PIYANUCH",
        "middle_name": "PAHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-19",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036145923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "263196",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036145923",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "263196",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "263196",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036145923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.