JONATHAN SETH ADELSTEIN (M.D.) – Psychiatry Physician, NPI 1053603613

JONATHAN SETH ADELSTEIN (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 036144161 (IL). The NPI Number for JONATHAN SETH ADELSTEIN (M.D.) is 1053603613

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN SETH ADELSTEIN (M.D.)
NPI
1053603613
Phone
(312) 222-1771
Address
405 N WABASH AVE
Enumeration Date
13 May 2011
Last Update Date
8 June 2021

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5039445000
Graduation Year
2011 (15 years ago)
PAC ID
1557581535
Group Practice PAC ID
4981772639
Professional Enrollment ID
I20221028001783
Address ID
OR972255004PO10300STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for JONATHAN SETH ADELSTEIN (M.D.)

  • 405 N WABASH AVE

    SUITE 3209

    CHICAGO, IL 606115675

    Phone: (312) 222-1771

    Type: Mailing

  • 4610 N CLARK ST # 1028

    CHICAGO, IL 606404620

    Phone: (773) 747-5500

    Fax: (773) 747-5586

    Type: Mailing

  • Northwestern Medical Center Department of Psychiatry

    446 E Ontario St Ste 7-200

    Chicago, IL 606114418

    Phone: (312) 695-5060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Lundbeck LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221028001783IPsychiatryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7236$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981772639View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
P S Y C H I A T R YOR
Nurse PractitionerOR
Nurse PractitionerIA
P S Y C H I A T R YOR
P S Y C H I A T R YTX
Nurse PractitionerOR
P S Y C H I A T R YOR
Nurse PractitionerOR
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does JONATHAN SETH ADELSTEIN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JONATHAN SETH ADELSTEIN (M.D.) uses 1053603613.
Is JONATHAN SETH ADELSTEIN (M.D.) listed as active for patients and plans?
The listing shows JONATHAN SETH ADELSTEIN (M.D.) as active in the NPI system.
What taxonomy line describes JONATHAN SETH ADELSTEIN (M.D.)?
For research purposes, treat JONATHAN SETH ADELSTEIN (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JONATHAN SETH ADELSTEIN (M.D.)?
JONATHAN SETH ADELSTEIN (M.D.)'s geographic hint is Chicago, Illinois in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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