JACQUELINE LEAVITT M.D.
NPI 1144332768
Internal Medicine in Chicago, IL

NPI Status: Active since August 31, 2006

Contact Information

1700 W VAN BUREN ST
SUITE 500
CHICAGO, IL
ZIP 60612
Phone: (312) 563-2875
Fax: (312) 942-3012

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 31
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACQUELINE LEAVITT

This page provides the complete NPI Profile along with additional information for Jacqueline Leavitt, an internist established in Chicago, Illinois with a medical specialization in Internal Medicine and more than 31 years of experience. She graduated from Rush Medical College Of Rush University in 1995. The healthcare provider is registered in the NPI registry with number 1144332768 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number 036-096995 (IL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1144332768
Provider Name
JACQUELINE LEAVITT M.D.
Gender
Female
Entity Type
Individual
Location Address
1700 W VAN BUREN ST SUITE 500 CHICAGO, IL 60612
Location Phone
(312) 563-2875
Location Fax
(312) 942-3012
Mailing Address
1700 W VAN BUREN ST SUITE 500 CHICAGO, IL 60612
Mailing Phone
(312) 563-2875
Mailing Fax
(312) 942-3012
Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
02-12-2008
Code Navigator

An internist like Jacqueline Leavitt is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
036-096995
License State
IL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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 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
  • Bronze Classic Standard (Choice) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - 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
L67869MEDICARE ID-TYPE UNSPECIFIED (04)IL 
G84810MEDICARE UPIN (02)IL 

Medicare Participation & PECOS Enrollment Status

Jacqueline Leavitt 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.

Jacqueline Leavitt 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: 1456485960

    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: I20100819000867

    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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    9 DME suppliers used 18 Medicare Claims 58 Services Paid

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.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 39 times for 39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 46 times for 46 patients

Established patient office or other outpatient visit, 30-39 minutes

This 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 217 times for 119 patients

Established patient office or other outpatient visit, 40-54 minutes

This 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 81 times for 56 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 25 times for 25 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 62 times for 39 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 24 times for 24 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 16 times for 16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An 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 26 times for 25 patients

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 20 times for 16 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 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 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. Jacqueline Leavitt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
THE UNIVERSITY OF CHICAGO MEDICAL CENTER5841 SOUTH MARYLAND
CHICAGO, IL 60637
(773) 702-1000Acute Care Hospitals

Reviews for JACQUELINE LEAVITT M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1144332768
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184634712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 6 + 3 + 4 + 7 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1144332768 is valid because the calculated check digit 8 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
1821072372MRS. RUBY M. POUW M.D.
Individual
Specialist1700 W VAN BUREN ST 5TH FLOOR
CHICAGO, IL 60612
(312) 563-2875
1487609954 RASA KAZLAUSKAITE MD, MSC, FACE
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-3227
1821028622DR. CHERYL STEPHANIE RUCKER-WHITAKER MD, MPH
Individual
Internal Medicine (Cardiovascular Disease)1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-8116
1245263912 JENNIFER C VENTRELLE R.D., L.D.N.
Individual
Dietitian, Registered1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-3133
1427073998 WILLIAM ELLIOTT M.D.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-3133
1457372898 ANDREA JEAN DOMAS RD
Individual
Dietitian, Registered1700 W VAN BUREN ST SUITE 425 TOB
CHICAGO, IL 60612
(312) 942-3438
1528170123 SUCHITA KISHORE M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1235241837 JAH-WON KOO M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1497867048DR. MARGARET A. MCLAUGHLIN M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1730291212 SYED SHAH M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1942312558 VANCE LAUDERDALE III M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1831201433 VIJU JOHN M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1114039757 CYNTHIA LOUIE M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1710089776 ELIZABETH BAKER M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1619079688 JENNIFER EARVOLINO M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1467554089 ANDEM E EKPENYONG M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1962504597 JOSUNE NATALIA IGLESIAS M.D.
Individual
Internal Medicine1700 W VAN BUREN ST SUITE 500
CHICAGO, IL 60612
(312) 563-2875
1154429751MRS. KRISTIN A. R. GUSTASHAW M.S., R.D., L.D.N.
Individual
Dietitian, Registered1700 W VAN BUREN ST SUITE 425 TOB
CHICAGO, IL 60612
(312) 942-3438
1093806424 GINA KRING M.D.
Individual
Family Medicine1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-0400
1619068046 NORMAN RYAN M.D.
Individual
Family Medicine1700 W VAN BUREN ST SUITE 470
CHICAGO, IL 60612
(312) 942-0400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144332768, enumerated in the NPI registry as an "individual" on August 31, 2006

The provider is located at 1700 W Van Buren St Suite 500 Chicago, Il 60612 and the phone number is (312) 563-2875

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 31 years of experience. She graduated from Rush Medical College Of Rush University 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 $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: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Fee covid-19 vac 13 res, Hemoglobin a1c level, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Telephone medical discussion with physician, 21-30 minutes.

The practitioner is affiliated to the following hospital(s): THE UNIVERSITY OF CHICAGO 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 August 31, 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].
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.