ROBERT C. PRENTICE D.O. – NPI #1194789354
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

ROBERT PRENTICE is a physician located in PALOS PARK, IL. NPPES has assigned the NPI number 1194789354 to ROBERT PRENTICE on April 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Dec 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT PRENTICE below.

NPI Profile for
ROBERT C. PRENTICE

NPI Number
1194789354
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT C. PRENTICE
Credentials
D.O.
Primary location
13011 S 104TH AVE STE 100
PALOS PARK, IL 60464-1508
Phone: (708) 274-3278 Fax: (708) 274-3299
2 Other location(s):
10260 191st St Ste 102
Mokena, IL 60448-8802
Phone: (708) 478-4224
Fax: (708) 478-4033
19001 Old Lagrange Rd
Mokena, IL 60448-8012
Phone: (708) 478-4224
Fax: (708) 478-4033
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROBERT PRENTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL01621208
OTHERGROUP NPIIL1508810086
OTHERMEDICARE GROUPIL236551
OTHERMEDICARE GROUPIL236550
OTHERRAILROAD MEDICARE COOKIL060042297
OTHERRAILROAD MEDICARE GROUP PTAN NUMBERILCD8033
OTHERRAILROAD MEDICARE GROUP PTAN NUMBERILCN2703
OTHERRAILROAD MEDICARE WILLIL060056572
MEDICAIDIL036067066
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 IL 036067066
207RI0011X
- Internal Medicine / Interventional Cardiology		 IL 036067066

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
13011 S 104TH AVE STE 100,
PALOS PARK, IL 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4440 W 95TH ST,
OAK LAWN, IL 77025-1669
Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4440 W 95TH ST,
OAK LAWN, IL 77025-1669

Additional Information

Education
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED - Graduated 1982
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT PRENTICE is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
      4440 W 95TH STREET
      OAK LAWN, IL 60453
    • PALOS COMMUNITY HOSPITAL
      12251 SOUTH 80TH AVENUE
      PALOS HEIGHTS, IL 60463
    • SILVER CROSS HOSPITAL AND MEDICAL CENTERS
      1900 SILVER CROSS BLVD
      NEW LENOX, IL 60451

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.