ANDREA CATALINA PARDO M.D. NPI 1003010059
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Chicago, IL
About ANDREA CATALINA PARDO M.D.
Andrea Pardo is a provider established in Chicago, Illinois and her medical specialization is Psychiatry & Neurology with a focus in neurology with special qualifications in child neurology with more than 20 years of experience. The NPI number of this provider is 1003010059 and was assigned on June 2007. The practitioner's primary taxonomy code is 2084N0402X with license number 036.138406 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
| NPI | 1003010059 |
| Provider Name | ANDREA CATALINA PARDO M.D. |
| Location Address | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 |
| Location Phone | (312) 227-3550 |
| Mailing Address | 11175 CAMPUS ST ROOM A1120C LOMA LINDA, CA 92350 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-13-2007 |
| Last Update Date | 02-14-2018 |
Andrea Pardo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Andrea Pardo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.21 for a new patient copayment and $27.76 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084N0402X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| License No. | 036.138406 |
| License State | IL |
| Taxonomy Description | A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
225 E CHICAGO AVE # 51
CHICAGO, IL
ZIP 60611
Phone: (312) 227-3550
Mailing Address
11175 CAMPUS ST
ROOM A1120C
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-8242
Fax: (909) 835-1780
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6709042732 |
| PECOS Enrollment ID | I20170530001625 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 60611 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $63 | $191.32 | $144.84 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.75 | $47.83 | $36.21 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.29 | $155.26 | $111.04 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.82 | $38.81 | $27.76 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | A119728 | CA | No |
Taxonomy Description: a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A119728 | OTHER (01) | CA | CALIFORNIA LICENSE |
| FP3098109 | OTHER (01) | DEA |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 0 | 0 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 0 + 0 + 1 + 0 + 24 = 31 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 31 = 9 | 9 | ||||||||
The NPI number 1003010059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518911882 | DR. SUJA ANN JOSEPH MD Individual | Psychiatry & Neurology (Neurology) | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-3550 |
| 1992199962 | DR. NICOLAS CHIRIBOGA SALAZAR M.D. Individual | Student in an Organized Health Care Education/Training Program | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-4455 |
| 1689053712 | DR. MURAD M OMERY M.D. Individual | Pediatrics | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 277-3550 |
| 1578957676 | LAURA ENGEL VERNON MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-3550 |
| 1801555818 | DARLENE LEUNG NURSE PRACTITIONER Individual | Registered Nurse | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-3550 |
| 1578531950 | DAVID G RITACCO MD PHD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-3550 |
| 1861118374 | KATHLEEN KENNEDY APRN Individual | Nurse Practitioner (Pediatrics) | 225 E CHICAGO AVE # 51 CHICAGO, IL 60611 (312) 227-4000 |
Frequently Asked Questions
What is Andrea Pardo M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003010059, registered as an "individual" on June 13, 2007
Where is Andrea Pardo M.D. located?
The provider is located at 225 E Chicago Ave # 51 Chicago, Il 60611 and the phone number is (312) 227-3550
Which is Andrea Pardo M.D. specialty?
The provider's speciality is Psychiatry & Neurology with a focus in Neurology with Special Qualifications in Child Neurology
How many years of experience does Andrea Pardo M.D. have?
The provider has more than 20 years of experience.
What insurance does Andrea Pardo M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Andrea Pardo M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Andrea Pardo M.D.?
Medicare beneficiaries should expect a typical cost of $144.84 with an average copayment of $36.21 for new patient appointments. Established patients should expect a typical charge of $111.04 and an average copayment of 27.76. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Andrea Pardo M.D. was last updated on June 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]