DR. CHARLES J MARCUCCILLI (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1801849559

DR. CHARLES J MARCUCCILLI (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PEDIATRIC MEDICINE, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 036102274 (IL). The NPI Number for DR. CHARLES J MARCUCCILLI (MD) is 1801849559

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES J MARCUCCILLI (MD)
NPI
1801849559
Phone
(773) 702-6487
Address
5841 S MARYLAND AVE
Enumeration Date
17 May 2006
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
3122276415
Graduation Year
1997 (29 years ago)
PAC ID
5597788109
Group Practice PAC ID
4789597279
Professional Enrollment ID
I20130215000401
Address ID
IL606112991CH225XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,158 PEDIATRIC MEDICINE in IL

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Provider Addresses for DR. CHARLES J MARCUCCILLI (MD)

  • Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States

    DEPT OF PEDIATRICS, MC 3055

    CHICAGO, IL 606371447

    Phone: (773) 702-6487

    Type: Mailing

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 60527, United States

    SUITE 110

    BURR RIDGE, IL 605277594

    Phone: (773) 702-1150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $17,941.

Total Amount is formed as General ($17,941) + Research ($0) + Ownership ($0) = $17,941.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($9,796).

Total Amount

$17,941

General + Research + Ownership

Payments

27

Total payment records

General Amount

$17,941

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-15

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
I20130215000401IPediatric 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.

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

Insurance plans in this area (ZIP 60637)

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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: 4789597279View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
-IL
-IL
-IL
-IL
-IL
-IL
-IL

Reviews

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Frequently asked questions

What identifier follows DR. CHARLES J MARCUCCILLI (MD) across health systems?
The NPI 1801849559 uniquely identifies DR. CHARLES J MARCUCCILLI (MD) in U.S. healthcare data.
Does the public listing show DR. CHARLES J MARCUCCILLI (MD) as active?
DR. CHARLES J MARCUCCILLI (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. CHARLES J MARCUCCILLI (MD)'s specialty?
The extract shows Neurology with Special Qualifications in Child Neurology Physician for DR. CHARLES J MARCUCCILLI (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. CHARLES J MARCUCCILLI (MD) in Chicago, Illinois?
For routing, start with Chicago, Illinois for DR. CHARLES J MARCUCCILLI (MD), then verify phone and hours locally.
Who maintains DR. CHARLES J MARCUCCILLI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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