DR. ROBERT P DECRESCE MD
NPI 1114902814
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

NPI Status: Active since December 14, 2005

Contact Information

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5700

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  • Individual
  • Male
  • Years of Experience 51
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ROBERT DECRESCE

This page provides the complete NPI Profile along with additional information for Robert Decresce, a provider established in Chicago, Illinois with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 51 years of experience. He graduated from Columbia University College Of Physicians And Surgeons in 1975. The healthcare provider is registered in the NPI registry with number 1114902814 assigned on December 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number 036066410 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1114902814
Provider Name
DR. ROBERT P DECRESCE MD
Gender
Male
Entity Type
Individual
Location Address
1653 W CONGRESS PKWY CHICAGO, IL 60612
Location Phone
(312) 942-5700
Mailing Address
5700 SOUTHWYCK BLVD TOLEDO, OH 43614
Mailing Phone
(800) 288-8325
Mailing Fax
Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year
1975
Is Sole Proprietor?
No
Enumeration Date
12-14-2005
Last Update Date
10-31-2013
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
036066410
License State
IL
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

036066410 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - 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.

*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
B19330MEDICARE UPIN (02)IL 
25571MEDICARE ID-TYPE UNSPECIFIED (04)IL 

Medicare Participation & PECOS Enrollment Status

Robert Decresce is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Robert Decresce 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: 5092708883

    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: I20080104000451

    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? Maybe

    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.

Blood bank physician services for cross match and/or evaluation and written report

Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.

This service was performed 149 times for 112 patients

Blood smear interpretation by physician with written report

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

This service was performed 45 times for 40 patients

Bone marrow, smear interpretation

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

This service was performed 30 times for 30 patients

Hemoglobin analysis and measurement, electrophoresis

Hemoglobin analysis and measurement, electrophoresis, is a lab test that separates and identifies proteins in your blood. It's used to diagnose conditions affecting red blood cells. It's a simple, painless procedure where a small blood sample is taken and analyzed.

This service was performed 116 times for 61 patients

Immunologic analysis technique on body fluid, other fluids with concentration

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

This service was performed 158 times for 135 patients

Immunologic analysis technique on serum (immunofixation)

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

This service was performed 1,638 times for 730 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 36 times for 35 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 32 times for 31 patients

Protein measurement, body fluid

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

This service was performed 359 times for 316 patients

Protein measurement, serum

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

This service was performed 1,905 times for 1,113 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 103 times for 31 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 11 times for 11 patients

Physician Visit Costs

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 60612 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.86
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $34.71
  • 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Decresce is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RUSH OAK PARK HOSPITAL520 S MAPLE AVE
OAK PARK, IL 60304
(708) 383-9300Acute Care Hospitals
RUSH UNIVERSITY MEDICAL CENTER1653 WEST CONGRESS PARKWAY
CHICAGO, IL 60612
(312) 942-5000Acute Care Hospitals

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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.
1114902814
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124180482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 0 + 4 + 8 + 2 + 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 = 44

The NPI number 1114902814 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
1649272154MRS. BETH NACHTSHEIM BOLICK RN CNP
Individual
Nurse Practitioner (Pediatrics, Critical Care)1653 W CONGRESS PKWY
CHICAGO, IL 60612
(312) 942-3646
1285623785DR. KOUSIKI PATRA MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1653 W CONGRESS PKWY MURDOCK 622
CHICAGO, IL 60612
(312) 942-6640
1053395582DR. KALLIOPI SIZIOPIKOU MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1653 W CONGRESS PKWY
CHICAGO, IL 60612
(312) 942-5700
1629053897DR. ALEXANDER C TEMPLETON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1653 W CONGRESS PKWY
CHICAGO, IL 60612
(312) 942-5700
1992780035DR. ABBAS ZARIF MD
Individual
Specialist1653 W CONGRESS PKWY
CHICAGO, IL 60612
(312) 942-5700
1336110691DR. MARILYN MAY HALLOCK M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY 177 MURDOCK
CHICAGO, IL 60612
(312) 942-6909
1588630743 GALETA CAROLYN CLAYTON M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1326014408 DINO PETER RUMORO D.O.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1740256825 YANINA PURIM SHEM TOV M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1952377020 RAHUL G PATWARI M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1780650663 EDWARD WARD M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1801862925 JULIO C SILVA M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1174599112 JOSEPH JULIUS BRAWKA M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1205802147 JEFFREY L GRASSLE M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1568438687 PAULA OLDEG M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1578539417 JANE E KRAMER M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1346216470RUSH UNIVERSITY MEDICAL CENTER
Organization
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1164499406 ANDREAS SKOUBIS D.O.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149
1366403768 BRUCE C MCLEOD MD
Individual
Specialist1653 W CONGRESS PKWY
CHICAGO, IL 60612
(312) 942-5254
1982666285 KAMENO BELL M.D.
Individual
Emergency Medicine1653 W CONGRESS PKWY SUITE 177
CHICAGO, IL 60612
(312) 942-8149

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114902814, enumerated in the NPI registry as an "individual" on December 14, 2005

The provider is located at 1653 W Congress Pkwy Chicago, Il 60612 and the phone number is (312) 942-5700

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider has more than 51 years of experience. He graduated from Columbia University College Of Physicians And Surgeons in 1975.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. 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 $138.86 with an average copayment of $34.71 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: Blood bank physician services for cross match and/or evaluation and written report, Blood smear interpretation by physician with written report, Bone marrow, smear interpretation, Hemoglobin analysis and measurement, electrophoresis, Immunologic analysis technique on body fluid, other fluids with concentration, Immunologic analysis technique on serum (immunofixation), Pathology examination of tissue using a microscope, intermediate complexity, Preparation of tissue for examination by removing any calcium present, Protein measurement, body fluid, Protein measurement, serum, Special stained specimen slides to examine tissue including interpretation and report and Special stained specimen slides to examine tissue, initial procedure.

The practitioner is affiliated to the following hospital(s): RUSH OAK PARK HOSPITAL and RUSH UNIVERSITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on December 14, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.