Dr. Agustin Dequina Dormitorio , MD
Surgery • Chicago, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Agustin Dormitorio has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Agustin Dormitorio, MD was a registered Surgery practicing in Chicago, IL. Throughout an active medical career spanning 20 years, Dr. Dormitorio provided care at the practice location at 5025 N PAULINA ST until profile deactivation on 2026-07-30.
Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
5025 N Paulina St
Chicago, IL 606402772
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Chicago, IL
Practicing in Chicago, IL (1624 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
34 | 16 | $100.00 | $97.92 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 30, 2026
NPI status registered as active in NPPES database
Registered at 5025 N PAULINA ST, CHICAGO, IL 606402772 (Tel: 7732719040)
Registered at 1109 HYDE PARK LN, NAPERVILLE, IL 605651622 (Tel: 7735781464)
Recorded as AGUSTIN DORMITORIO, M.D.
Surgery
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Agustin Dormitorio
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
1109 Hyde Park Ln
Naperville, IL 605651622
Phone: 7735781464
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.