Active NPI
Natasha Pello, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036102991
- Practice address
- 77 N Airlite St
Elgin, IL 60123-4912 - Phone
- (847) 695-3200
- Fax
- (847) 931-5580
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036102991 | IL | Primary |
Addresses
Primary practice location
77 N Airlite St
Elgin, IL 60123-4912
Mailing address
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102991 | Medicaid | IL |
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 |
|---|---|---|---|---|
| I20140214000867 | IL | Practitioner - Pathology | 5597994525 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Addison-Central Pathology PLLC
Practice addresses (Care Compare)
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (847) 757-7515
Hospital & facility affiliations
- Saint Joseph Hospital-Elgin
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 63.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102991 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Laboratory Physicians, LTD. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1919 S Highland Ave
Ste 210
Lombard, IL 60148
Organizations & group practices 2
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 1902902281
IL
-
- Anatomic Pathology & Clinical Pathology Physician
- Dekalb, IL
- NPI 1184756256
Anatomic Pathology & Clinical Pathology, IL
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": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1609909217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 N AIRLITE ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234912",
"telephone_number": "847-695-3200",
"fax_number": "847-931-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 N AIRLITE ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234912",
"telephone_number": "847-695-3200",
"fax_number": "847-931-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLO",
"first_name": "NATASHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036102991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102991",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.