DR. ARSENIO D ATADERO (M.D.) – Internal Medicine Physician, NPI 1700884194

DR. ARSENIO D ATADERO (M.D.) is a healthcare provider. based in Algonquin, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036094916 (IL). The NPI Number for DR. ARSENIO D ATADERO (M.D.) is 1700884194

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARSENIO D ATADERO (M.D.)
NPI
1700884194
Phone
(847) 854-0050
Address
2220 HUNTINGTON DR N
Enumeration Date
11 July 2005
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478540050
Graduation Year
1992 (34 years ago)
PAC ID
8123018736
Group Practice PAC ID
5698765295
Professional Enrollment ID
I20040515000311
Address ID
IL601024419AL2220XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. ARSENIO D ATADERO (M.D.)

  • Huntington Drive, Eagle Valley, Algonquin, McHenry County, Illinois, 60102, United States

    ALGONQUIN, IL 601024419

    Phone: (847) 854-0050

    Fax: (847) 854-0055

    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: 2004-05-15

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
I20040515000311IInternal 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
36415Insertion of needle into vein for collection of blood sample286163$0
99213Established patient office or other outpatient visit, 20-29 minutes242136$0
99214Established patient office or other outpatient visit, 30-39 minutes10864$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8787$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7021$0
View full utilization report →

Insurance plans in this area (ZIP 60102)

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Provider's Procedures

DR. ARSENIO D ATADERO (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time9113
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle1717

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: 5698765295View full group profile
NameSpecialtyState
Family PracticeIL

Reviews

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Frequently asked questions

Does DR. ARSENIO D ATADERO (M.D.) have a public NPI I can cite?
Public records show DR. ARSENIO D ATADERO (M.D.) under NPI 1700884194.
Does the public listing show DR. ARSENIO D ATADERO (M.D.) as active?
DR. ARSENIO D ATADERO (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. ARSENIO D ATADERO (M.D.) does?
Insurance directories may phrase it differently, but here DR. ARSENIO D ATADERO (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ARSENIO D ATADERO (M.D.) in Algonquin, Illinois?
For routing, start with Algonquin, Illinois for DR. ARSENIO D ATADERO (M.D.), then verify phone and hours locally.
Who maintains DR. ARSENIO D ATADERO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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