Dr James M Caruso, MD - Medicare Family Practice in Chicago, IL

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Dr James M Caruso, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pilsen Medical Clinic And Associates Llc and his current practice location is 4939 W Fullerton Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 922-4155.

Dr James M Caruso is licensed to practice in Illinois (license number 036082576) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275524449.

Contact Information

Dr James M Caruso, MD
4939 W Fullerton Ave,
Chicago, IL 60639-2505
(630) 922-4155
Not Available

Map and Direction




Physician's Profile

Full NameDr James M Caruso
GenderMale
SpecialityFamily Practice
Experience42 Years
Location4939 W Fullerton Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James M Caruso graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1275524449
  • Provider Enumeration Date: 11/04/2005
  • Last Update Date: 04/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1153406921
  • Enrollment ID: I20080304000870

Medical Identifiers

Medical identifiers for Dr James M Caruso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275524449NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036082576 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Evolution Home Health Care, IncBurr ridge, ILHome health agency
Sunny Hill Home Health Care, IncOak lawn, ILHome health agency
Acacia Home Health AgencyLombard, ILHome health agency
Better Choice Home Health, IncLincolnwood, ILHome health agency
Attentive Services Home Health Ii, IncLockport, ILHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pilsen Medical Clinic And Associates Llc52949725017

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James M Caruso allows following entities to bill medicare on his behalf.
Entity NameGlobal Health Care Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679596027
PECOS PAC ID: 4880619626
Enrollment ID: O20051011000136
Entity NamePilsen Medical Clinic & Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790039725
PECOS PAC ID: 5294972501
Enrollment ID: O20130506000027

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James M Caruso is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James M Caruso, MD
2408 Shaker Ct,
Naperville, IL 60564-8449

Ph: (630) 922-4155		Dr James M Caruso, MD
4939 W Fullerton Ave,
Chicago, IL 60639-2505

Ph: (630) 922-4155

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.