PETER A SANTUCCI MD
NPI 1295804789
Internal Medicine - Cardiovascular Disease in Maywood, IL

NPI Status: Active since November 07, 2006

Contact Information

2160 S FIRST AVE
(LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-8757
Fax: (708) 216-1259

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  • Individual
  • Male
  • Years of Experience 38
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PETER SANTUCCI

This page provides the complete NPI Profile along with additional information for Peter Santucci, an internist established in Maywood, Illinois with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 38 years of experience. The healthcare provider is registered in the NPI registry with number 1295804789 assigned on November 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036081808 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1295804789
Provider Name
PETER A SANTUCCI MD
Gender
Male
Entity Type
Individual
Location Address
2160 S FIRST AVE (LUH-NORTH ENT., RM. 7604) MAYWOOD, IL 60153
Location Phone
(708) 216-8757
Location Fax
(708) 216-1259
Mailing Address
2160 S FIRST AVE (LUH-NORTH ENT., RM. 7604) MAYWOOD, IL 60153
Mailing Phone
(708) 216-8757
Mailing Fax
(708) 216-1259
Medical School Name
OTHER
Graduation Year
1988
Is Sole Proprietor?
No
Enumeration Date
11-07-2006
Last Update Date
03-04-2010
Code Navigator

An internist like Peter Santucci 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 Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
036081808
License State
IL
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

036-081808 (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
  • 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
  • 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
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - 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
G07450MEDICARE UPIN (02) 
203088MEDICARE ID-TYPE UNSPECIFIED (04)IL 

Medicare Participation & PECOS Enrollment Status

Peter Santucci 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.

Peter Santucci 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: 840263141

    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: I20040816000546

    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.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 279 times for 259 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 36 times for 36 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 282 times for 225 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 47 times for 42 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 18 times for 18 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

This service was performed 20 times for 12 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

This service was performed 437 times for 232 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

This service was performed 347 times for 183 patients

External shock to heart to regulate heart beat

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

This service was performed 69 times for 65 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 83 times for 41 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 49 times for 46 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 14 times for 13 patients

Insertion of catheters and destruction of tissue to treat abnormal heart rhythm

This procedure involves placing small tubes (catheters) into your heart via a blood vessel. These catheters emit energy that corrects irregular heartbeats by eliminating the problematic heart tissue. It's a common, minimally invasive method to treat abnormal heart rhythms.

This service was performed 19 times for 12 patients

Insertion of pacemaker and upper and lower heart chamber electrode

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

This service was performed 19 times for 19 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 46 times for 46 patients

Pacemaker insertion or repair

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

This service was performed for 25 patients

Programming of dual lead implantable defibrillator system

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

This service was performed 68 times for 48 patients

Programming of dual lead pacemaker system

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

This service was performed 333 times for 183 patients

Programming of dual lead pacemaker system

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

This service was performed 30 times for 21 patients

Programming of heart rhythm stimulation after drug infusion

Programming of heart rhythm stimulation after drug infusion is a process to regulate your heartbeat. After a medication is administered into your body, a device is programmed to monitor and correct irregular heart rhythms, ensuring your heart functions optimally.

This service was performed 13 times for 13 patients

Programming of multiple lead implantable defibrillator system

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

This service was performed 163 times for 87 patients

Programming of multiple lead implantable defibrillator system

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

This service was performed 16 times for 14 patients

Programming of multiple lead pacemaker system

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

This service was performed 34 times for 24 patients

Programming of single lead implantable defibrillator system

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

This service was performed 50 times for 32 patients

Programming of single lead pacemaker system

Programming of a single lead pacemaker system involves adjusting the pacemaker's settings to suit your heart's unique needs. This is done using a special device that communicates with the pacemaker, ensuring it helps your heart beat at an optimal rate.

This service was performed 58 times for 35 patients

Removal and replacement of multiple lead defibrillator

A multiple lead defibrillator helps regulate your heart's rhythm. If it's not functioning properly, it may need to be replaced. In this procedure, the old device is carefully removed and a new one is inserted. It's done under local anesthesia, minimizing discomfort.

This service was performed 12 times for 12 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 $18.7 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 60153 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 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • 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. Peter Santucci is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LOYOLA GOTTLIEB MEMORIAL HOSPITAL701 WEST NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200Acute Care Hospitals
ELMHURST MEMORIAL HOSPITAL155 EAST BRUSH HILL ROAD
ELMHURST, IL 60126
(331) 221-0130Acute Care Hospitals
SILVER CROSS HOSPITAL AND MEDICAL CENTERS1900 SILVER CROSS BLVD
NEW LENOX, IL 60451
(815) 300-1100Acute Care Hospitals
LOYOLA UNIVERSITY MEDICAL CENTER2160 S 1ST AVENUE
MAYWOOD, IL 60153
(708) 216-9000Acute 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.
1295804789
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851608716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 8 + 7 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1295804789 is valid because the calculated check digit 9 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
1912984261 ANDREW JAY HOTALING MD
Individual
Otolaryngology (Pediatric Otolaryngology)2160 S FIRST AVE MAGUIRE CENTER 1870
MAYWOOD, IL 60153
(708) 216-9183
1821075177 NATALIA O LITBARG MD
Individual
Internal Medicine (Nephrology)2160 S FIRST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1225015589 ELLEN GAYNOR MD
Individual
Internal Medicine (Hematology & Oncology)2160 S FIRST AVE LUH - NORTH ENT., RM. 7604
MAYWOOD, IL 60153
(708) 216-3304
1134106404 SUCHA NAND MD
Individual
Internal Medicine (Hematology & Oncology)2160 S FIRST AVE (LUH - NORTH ENT., RM 7604)
MAYWOOD, IL 60153
(708) 216-3304
1306823679 KEVIN BARTON MD
Individual
Internal Medicine (Hematology & Oncology)2160 S FIRST AVE (LUH- NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-3304
1083691984 FRANCO LAGHI MD
Individual
Internal Medicine (Critical Care Medicine)2160 S FIRST AVE (LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-5402
1801873757 MARTIN TOBIN MD
Individual
Internal Medicine (Critical Care Medicine)2160 S FIRST AVE (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-5402
1134106081 AMAL JUBRAN MD
Individual
Internal Medicine (Critical Care Medicine)2160 S FIRST AVE HINES VA, BLDG. 1
MAYWOOD, IL 60153
(708) 216-5402
1699752592 ELAINE ADAMS MD
Individual
Internal Medicine (Rheumatology)2160 S FIRST AVE LUH - NORTH ENT. ROOM 7604
MAYWOOD, IL 60153
(708) 216-3313
1508843400 JOHN ROBINSON MD
Individual
Internal Medicine (Rheumatology)2160 S FIRST AVE (FAHEY BLDG., RM. 113)
MAYWOOD, IL 60153
(708) 216-3313
1689651580 DAVID LEEHEY MD
Individual
Internal Medicine (Nephrology)2160 S FIRST AVE (LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-3306
1497732390 SARADA REDDY MD
Individual
Radiology (Radiation Oncology)2160 S FIRST AVE (MAGUIRE CENTER, RM. 2944)
MAYWOOD, IL 60153
(708) 216-2575
1942287818 MARY OLSON MD
Individual
Radiology (Diagnostic Radiology)2160 S FIRST AVE (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
(708) 216-5221
1851378723 VIRGINIA MCDONALD MD
Individual
Radiology (Diagnostic Radiology)2160 S FIRST AVE (MCGAW BLDG, RM 47)
MAYWOOD, IL 60153
(708) 216-5221
1386621258 DOUGLAS ANDERSON MD
Individual
Neurological Surgery2160 S FIRST AVE MAGUIRE CENTER, RM 1900
MAYWOOD, IL 60153
(708) 216-9000
1194702068 LEONARD L VERTUNO MD
Individual
Internal Medicine (Nephrology)2160 S FIRST AVE (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-3306
1912984881 TERRENCE DEMOS MD
Individual
Radiology (Diagnostic Radiology)2160 S FIRST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1336126218 KATHLEEN A WARD MD
Individual
Radiology (Diagnostic Radiology)2160 S FIRST AVE (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
(708) 216-5221
1235116112 RICHARD COOPER MD
Individual
Radiology (Diagnostic Radiology)2160 S FIRST AVE LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
(708) 216-9000
1013994995 PATRICK FAHEY MD
Individual
Internal Medicine (Critical Care Medicine)2160 S FIRST AVE LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
(708) 216-5402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295804789, enumerated in the NPI registry as an "individual" on November 07, 2006

The provider is located at 2160 S First Ave (luh-north Ent., Rm. 7604) Maywood, Il 60153 and the phone number is (708) 216-8757

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider has more than 38 years of experience.

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 $74.8 and an average copayment of 18.7. 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: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Evaluation of cardiac rhythm monitor system, remote up to 30 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, External shock to heart to regulate heart beat, Follow-up hospital inpatient care per day, typically 25 minutes, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Insertion of catheters and destruction of tissue to treat abnormal heart rhythm, Insertion of pacemaker and upper and lower heart chamber electrode, New patient office or other outpatient visit, 45-59 minutes, Pacemaker insertion or repair, Programming of dual lead implantable defibrillator system, Programming of dual lead pacemaker system, Programming of dual lead pacemaker system, Programming of heart rhythm stimulation after drug infusion, Programming of multiple lead implantable defibrillator system, Programming of multiple lead implantable defibrillator system, Programming of multiple lead pacemaker system, Programming of single lead implantable defibrillator system, Programming of single lead pacemaker system and Removal and replacement of multiple lead defibrillator.

The practitioner is affiliated to the following hospital(s): LOYOLA GOTTLIEB MEMORIAL HOSPITAL, ELMHURST MEMORIAL HOSPITAL, SILVER CROSS HOSPITAL AND MEDICAL CENTERS and LOYOLA 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 November 07, 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.