DR. JAMIE SMITH PENK (MD) – Pediatric Critical Care Medicine Physician, NPI 1942243555
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,158 PEDIATRIC MEDICINE in IL
Provider Addresses for DR. JAMIE SMITH PENK (MD)
2300 N CHILDRENS PLZ
CHICAGO, IL 606143363
Phone: (773) 880-4335
Type: Location
4900 MUELLER BLVD
AUSTIN, TX 787233051
Phone: (773) 577-3782
Type: Mailing
1018, West Leland Avenue, Uptown Square, Clarendon Park, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States
APT 3E
CHICAGO, IL 606405028
Phone: (773) 577-3782
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,584.
Total Amount is formed as General ($1,584) + Research ($0) + Ownership ($0) = $1,584.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AltaThera Pharmaceuticals LLC ($1,584).
Total Amount
$1,584
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AltaThera Pharmaceuticals LLC | $1,584 |
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: 2013-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130806000475 | I | Pediatric Medicine | IL | TBD |
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.
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 60614)
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