DR. RENE H ADRIAN (M.D.) – Emergency Medicine Physician, NPI 1104905652

DR. RENE H ADRIAN (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036111002 (IL). The NPI Number for DR. RENE H ADRIAN (M.D.) is 1104905652

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENE H ADRIAN (M.D.)
NPI
1104905652
Phone
(847) 723-7624
Address
1775 DEMPSTER
Enumeration Date
3 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738788700
Graduation Year
2001 (25 years ago)
PAC ID
5496716110
Group Practice PAC ID
6103071808
Professional Enrollment ID
I20041025001105
Address ID
IL606405759CH4646XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. RENE H ADRIAN (M.D.)

  • Advocate Lutheran General Hospital, 1775, West Dempster Street, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 60068

    Phone: (847) 723-7624

    Mailing address matches the actual address.

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: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041025001105IEmergency MedicineILTBD
I20251014001114IEmergency MedicineWITBD

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
99285Emergency department visit with high level of medical decision making5353$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 6103071808View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineCA
-IL
Emergency MedicineIL
Nurse PractitionerIL
Physician AssistantIL
Emergency MedicineIL
-FL
Emergency MedicineNY
Emergency MedicineIL

Reviews

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Frequently asked questions

Does DR. RENE H ADRIAN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RENE H ADRIAN (M.D.) uses 1104905652.
Does the file indicate DR. RENE H ADRIAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. RENE H ADRIAN (M.D.) as active.
What is DR. RENE H ADRIAN (M.D.) best known for clinically?
Directory data describes DR. RENE H ADRIAN (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RENE H ADRIAN (M.D.) based?
DR. RENE H ADRIAN (M.D.) is tied to Park Ridge, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. RENE H ADRIAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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