JOSEPHINE TRACY (M.D, MPH) – Anesthesiology Physician, NPI 1255674818

JOSEPHINE TRACY (M.D, MPH) is a healthcare provider. based in Chicago, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D, MPH. They hold a License No. 125065504 (IL). The NPI Number for JOSEPHINE TRACY (M.D, MPH) is 1255674818

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPHINE TRACY (M.D, MPH)
NPI
1255674818
Phone
(860) 884-5508
Address
701 S WELLS ST
Enumeration Date
2 April 2013
Last Update Date
21 June 2021

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
3016185700
Graduation Year
2013 (13 years ago)
PAC ID
8820371479
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20190916000429
Address ID
MD207745374LA1221XLNXX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

2,633 ANESTHESIOLOGY in IL

Provider Addresses for JOSEPHINE TRACY (M.D, MPH)

  • 701 S WELLS ST

    APT 2905

    CHICAGO, IL 606074640

    Phone: (860) 884-5508

    Type: Mailing

  • 8008 WESTPARK DR

    MC LEAN, VA 221023109

    Phone: (860) 884-5508

    Type: Location

  • 9500 CLARKS CROSSING RD

    VIENNA, VA 221821926

    Phone: (860) 884-5508

    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: 2026-02-02

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
I20190916000429IAnesthesiologyDCTBD
I20260202002213IAnesthesiologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60607)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

What is the registry number for JOSEPHINE TRACY (M.D, MPH)?
The registry entry for JOSEPHINE TRACY (M.D, MPH) shows NPI 1255674818.
Should I treat JOSEPHINE TRACY (M.D, MPH) as an active provider?
Patients and plans typically see JOSEPHINE TRACY (M.D, MPH) as active in the national extract.
Which specialty label fits JOSEPHINE TRACY (M.D, MPH)?
NPPES ties JOSEPHINE TRACY (M.D, MPH) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOSEPHINE TRACY (M.D, MPH)?
The directory associates JOSEPHINE TRACY (M.D, MPH) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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