DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) – Family Medicine Physician, NPI 1447283692

DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) is a healthcare provider. based in Bourbonnais, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036079397 (IL). The NPI Number for DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) is 1447283692

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.)
NPI
1447283692
Phone
(815) 937-8786
Address
475 BROWN BLVD
Enumeration Date
9 July 2006
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159365167
Graduation Year
1985 (41 years ago)
PAC ID
6002004579
Group Practice PAC ID
2860396769
Professional Enrollment ID
I20110113001160

Contacts

Secure Messaging
rnepomuceno48240@ce-direct.presencehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.)

  • 475, Brown Boulevard, Bourbonnais, Kankakee County, Illinois, 60914, United States

    SUITE 106

    BOURBONNAIS, IL 609142325

    Phone: (815) 937-8786

    Fax: (815) 937-2067

    Type: Mailing

  • 656 N Convent St Ste B

    Bourbonnais, IL 609141393

    Phone: (815) 936-5186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$85

General + Research + Ownership

Payments

3

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$45
Novo Nordisk Inc$41
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes423261$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit165165$0
99213Established patient office or other outpatient visit, 20-29 minutes10184$0
90662Influenza vaccine split virus, preservative free2424$0
G0008Administration of influenza virus vaccine2424$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 2860396769View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) in the U.S.?
In the U.S., DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) is identified by NPI 1447283692.
Should I treat DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) as an active provider?
Patients and plans typically see DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) as active in the national extract.
What does the directory say DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) does?
Insurance directories may phrase it differently, but here DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) tied to Bourbonnais, Illinois?
If you are local to Bourbonnais, Illinois, DR. REYNALDO ELAZEGUI NEPOMUCENO (M.D.) may be relevant to your search.
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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