Individual provider Active NPI

Christopher Vincent Pelletiere, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Inverness, IL
National Provider Identifier
1528086725
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Practice address
1602 W Colonial Pkwy
Inverness, IL 60067-1215
Phone
(847) 358-9444
Fax
(847) 358-8816
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X IL
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X IL Primary

Addresses

Primary practice location

1602 W Colonial Pkwy
Inverness, IL 60067-1215

Mailing address

1602 W Colonial Pkwy
Inverness, IL 60067-1215
Phone (847) 358-9444

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
I20050207000491 IL Practitioner - Plastic and Reconstructive Surgery 5294786315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112359ILMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Plastic Surgery, LTD Plastic Surgery CurrentSince Jul 1, 2005 Accepting new patients

Locations

1602 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 358-9444

Organizations & group practices 1

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrington Plastic Surgery LTD 2 clinicians

Practice addresses (Care Compare)

1602 W Colonial Pkwy
Inverness, IL 60067-1215
Phone (847) 358-9444

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528086725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671215",
            "telephone_number": "847-358-9444",
            "fax_number": "847-358-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671215",
            "telephone_number": "847-358-9444",
            "fax_number": "847-358-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIERE",
        "first_name": "CHRISTOPHER",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, IL

Sources for this page

Verify at the official NPI Registry.