ROBERT JEN (M.D.) – Internal Medicine Physician, NPI 1104169994

ROBERT JEN (M.D.) is a healthcare provider. based in La grange park, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125.063485 (IL). The NPI Number for ROBERT JEN (M.D.) is 1104169994

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JEN (M.D.)
NPI
1104169994
Phone
Not provided
Address
209 HOMESTEAD RD APT 2
Enumeration Date
1 April 2013
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
6002117041
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20161227000964
Address ID
IL604532600OA4440XSTXX400

Contacts

FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
rjen217653@myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for ROBERT JEN (M.D.)

  • 209 HOMESTEAD RD APT 2

    LA GRANGE PARK, IL 605262062

    Phone:

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-6497

    Fax: (708) 216-6890

    Type: Location

  • 4440 W 95TH ST

    OAK LAWN, IL 604532600

    Phone: (708) 684-8000

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-12-27

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
I20161227000964IInternal MedicineILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes558156$0
99239Hospital discharge day management, more than 30 minutes8989$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7171$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3827$0
View full utilization report →

Insurance plans in this area (ZIP 60526)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

How do I look up ROBERT JEN (M.D.) by NPI?
Use NPI 1104169994 when you need to reference ROBERT JEN (M.D.) in forms, claims, or directories.
Is ROBERT JEN (M.D.)'s NPI currently valid?
The extract we use shows ROBERT JEN (M.D.) as active.
Does ROBERT JEN (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for ROBERT JEN (M.D.). Clinical services aligned with this taxonomy classification.
Does ROBERT JEN (M.D.) practice in Illinois?
You will see La Grange Park, Illinois on file for ROBERT JEN (M.D.) alongside any extra practice locations.
Is ROBERT JEN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104169994. Always confirm identity and privileges with the practice and licensing boards.

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