Theresa A. Navarrete, MD
Emergency Medicine Physician · Elmhurst, IL
Theresa A. Navarrete, MD is an emergency medicine physician with a practice address in Elmhurst, Illinois, and NPI 1881034478, issued on Jun 27, 2013. Check the license (Illinois 036140816, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Theresa A. Navarrete
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 036140816 IL
Self-reported in NPPES; status is on the state search - Practice location
- 155 E Brush Hill RD, Elmhurst, IL 60126
- Phone
- (331) 221-0202
- Enumerated
- Jun 27, 2013
- Record last updated
- Dec 8, 2025
- Fax
- (331) 221-3777
- Medicare enrollment
- Enrolled (PECOS I20160801002549); accepts Medicare assignment
- Medical or professional school
- Rush Medical College Of Rush University, 2013
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 3,291 in Illinois → Look up another NPI →
Also registered at 155 E Brush Hill RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Albert Abalos, M.D.Emergency Medicine Physician1881983484
- Ahmad Ahmad, APN - CRNACertified Registered Nurse Anesthetist1144949678
- Syed Ahmed, DOHospitalist Physician1689311037
- Shah Alam, MDHospitalist Physician1164450672
- Muhammad Umer Altaf, MDHospitalist Physician1427542414
- Dominic Antonacci, MDDiagnostic Radiology Physician1487148870
Verify Theresa A. Navarrete in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036140816Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2% more Medicare Part D claims than the average emergency medicine physician in 2024
231 Medicare Part D claims for 173 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 39 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen34 claims
- Cephalexin22 claims
- Ibuprofen15 claims
- Prednisone15 claims
- Methylprednisolone14 claims
- Ondansetron Odt11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 99.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
2 hospitals and group practices
- Elmhurst Memorial HospitalElmhurst, IL · Acute Care Hospitals3 of 5 stars
- Advocate Health And Hospitals CorporationOak Lawn, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Theresa A. Navarrete among 3,291 emergency medicine physician records in Illinois
Theresa A. Navarrete, MD is one of 3,291 emergency medicine physician records with a practice address in Illinois. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 56% of them.
- NPI issued2013 · 56% of these records are older, 41% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2013 · median 2012 among the 1,867 with a school on file
- Record last updated2025 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 emergency medicine physician records list a practice address in Elmhurst
They are 43 of the 1,540 NPPES records with a practice address in Elmhurst, and 3,291 emergency medicine physician records in Illinois.
All 3,291 in Illinois → Every provider in Elmhurst → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Daniel Belmont, M.D.Elmhurst, IL 601261932161239
- Austen-Kum Chai, MDElmhurst, IL 601261972539682
- Richard De Angelo, MDElmhurst, IL 601261942238589
- Melissa Drake, DOElmhurst, IL 601261306854252
- James Greene, MDElmhurst, IL 601261518978485
- Thomas King, M.D.Elmhurst, IL 601261073514220
- Justin Macariola-Coad, MDElmhurst, IL 601261215963798
- Michelle Meziere, MDElmhurst, IL 601261245266675
Common questions
What is Theresa A. Navarrete, MD's NPI number?
Theresa A. Navarrete, MD's National Provider Identifier (NPI) is 1881034478, issued on Jun 27, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Theresa A. Navarrete, MD located?
The NPPES record lists a practice address at 155 E Brush Hill RD, Elmhurst, IL, 60126. Phone: (331) 221-0202. Providers update this record themselves, so call before visiting.
How can I verify Theresa A. Navarrete, MD's license?
NPPES lists Illinois license number 036140816, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theresa A. Navarrete, MD prescribe under Medicare Part D?
In 2024, Theresa A. Navarrete, MD had 231 Medicare Part D claims for 173 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Theresa A. Navarrete, MD's MIPS final score?
The 2023 MIPS final score is 99.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.