DR. HELEN N. TCHENG M.D.
NPI 1033135934
Pediatrics in Chicago, IL
NPI Status: Active since July 14, 2006
Contact Information
9831 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 445-3500
- Individual
- Female
- Years of Experience 31
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About HELEN TCHENG
This page provides the complete NPI Profile along with additional information for Helen Tcheng, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics and more than 31 years of experience. She graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995. The healthcare provider is registered in the NPI registry with number 1033135934 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 036099325 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1033135934
- Provider Name
- DR. HELEN N. TCHENG M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9831 S WESTERN AVE CHICAGO, IL 60643
- Location Phone
- (773) 445-3500
- Mailing Address
- 29373 NETWORK PL CHICAGO, IL 60673
- Mailing Phone
- (847) 390-5900
- Medical School Name
- UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2006
- Last Update Date
- 05-02-2022
- Code Navigator
A pediatrician like Helen Tcheng is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1302 Franklin Ave Ste 1100
Normal, IL 61761
(309) 286-2727
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036099325
- License State
- IL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- BlueCare Direct Silver? Standard - Select Rx Copays with Advocate - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
5723019 | OTHER (01) | BLUE CROSS BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
Helen Tcheng is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Helen Tcheng is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7719139088
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121212000624
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
Blood count, hemoglobin
Blood glucose (sugar) test performed by hand-held instrument
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Injection of drug or substance under skin or into muscle
Injection, ceftriaxone sodium, per 250 mg
Injection, ketorolac tromethamine, per 15 mg
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Urinalysis, manual test
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 15 times for 15 patientsA blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
This service was performed 23 times for 23 patientsA blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
This service was performed 20 times for 20 patientsAn immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
This service was performed 21 times for 21 patientsThis test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
This service was performed 14 times for 14 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 247 times for 224 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 13 times for 13 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 58 times for 51 patientsCeftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
This service was performed 25 times for 14 patientsKetorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
This service was performed 56 times for 37 patientsThis test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
This service was performed 40 times for 39 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 18 times for 18 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 50 times for 47 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $26.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60643 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 3 | 3 | 1 | 3 | 5 | 9 | 3 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 6 | 3 | 2 | 3 | 10 | 9 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 6 + 3 + 2 + 3 + 1 + 0 + 9 + 6 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1033135934 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1679514558 | DR. BRIAN THOMAS CRYDER PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 881-5632 |
1205869419 | ATINUKE R UWAJEH M.D. Individual | Pediatrics | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1285669689 | ROSEMARY CARROLL M.D. Individual | Internal Medicine (Hematology & Oncology) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1184659336 | THELMA EVANS M.D. Individual | Internal Medicine | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1336160076 | CYNTHIA HENDERSON M.D. Individual | Internal Medicine (Gastroenterology) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1487676490 | STEVEN HOROWITZ M.D. Individual | Otolaryngology | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1881608313 | FE LOPEZ M.D. Individual | Family Medicine | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1437163250 | DR. MARGARET A. FELCZAK PHARM.D. Individual | Pharmacist | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 881-5632 |
1124038401 | ROBERT PINTOZZI M.D. Individual | Internal Medicine (Gastroenterology) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1437263316 | YVETTE T WILSON NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 9831 S WESTERN AVE ADVOCATE MEDICAL GROUP CHICAGO, IL 60643 (773) 445-3500 |
1083794945 | ADORACION L DUQUE M.D. Individual | Anesthesiology | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-9696 |
1083796791 | TAGUMPAY E NAVARRO PA Individual | Physician Assistant | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1518049220 | ROBERT ANTHONY PA Individual | Physician Assistant | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1518042787 | PATRICIA BURKE M.D. Individual | Internal Medicine (Geriatric Medicine) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 445-3500 |
1376679183 | DR. JUSTINE D. JANOCIAK PHARM.D. Individual | Pharmacist | 9831 S WESTERN AVE ROOM 396 CHICAGO, IL 60643 (773) 881-5632 |
1942501358 | ADVOCATE HEALTHCARE SYSTEMS INC Organization | Specialist | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 881-5610 |
1972959054 | ADVOCATE MEDICAL GROUP Organization | Clinic/Center (Primary Care) | 9831 S WESTERN AVE SUITE 396 CHICAGO, IL 60643 (773) 881-5632 |
1952895971 | VAISHALI SHAH PHARMD Individual | Pharmacist (Ambulatory Care) | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 881-5632 |
1598234999 | MRS. COLLEEN MARIE TUMINO RN,BSN Individual | Registered Nurse | 9831 S WESTERN AVE CHICAGO, IL 60643 (708) 848-0347 |
1144799446 | ROBERT JOSEPH STACHLER Individual | Massage Therapist | 9831 S WESTERN AVE CHICAGO, IL 60643 (773) 881-5679 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033135934, enumerated in the NPI registry as an "individual" on July 14, 2006
The provider is located at 9831 S Western Ave Chicago, Il 60643 and the phone number is (773) 445-3500
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider has more than 31 years of experience. She graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Automated urinalysis test, Blood count, hemoglobin, Blood glucose (sugar) test performed by hand-held instrument, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Injection of drug or substance under skin or into muscle, Injection, ceftriaxone sodium, per 250 mg, Injection, ketorolac tromethamine, per 15 mg, Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Urinalysis, manual test.
This NPI record was last updated on July 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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