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BRENDA CARBAJAL
NPI 1013523620
Physician Assistant in Blue Island, IL

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
12200 WESTERN AVE, BLUE ISLAND, IL 60406(708) 631-2781 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Sep 18, 2020 (2 updates tracked since 2020).

About Brenda Carbajal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA CARBAJAL (NPI 1013523620) is an individual physician assistant in Blue Island, Illinois and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013523620
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRENDA CARBAJAL
Location Address12200 WESTERN AVEBlue Island, IL 60406-1398
Mailing Address1320 W Lombard StDavenport, IA 52804-2029
Phone(708) 631-2781
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 18, 2020
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1013523620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12200 WESTERN AVE, Blue Island, IL 60406
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenda Carbajal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749652501
PECOS Enrollment IDI20230206000575
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services33 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
25 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST EXPRESS CARE 2, INC
Internal Medicine
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (630) 581-5372
MIDWEST EXPRESS CARE 3 LLC
Clinic/Center (Urgent Care)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 631-2781
DR. KRISTIN MARIE ANDREWS D.D.S.
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
JENNIFER R. KOMADA NP-C
Nurse Practitioner (Family)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 631-2781
DR. DARLENE JO BUIS D.D.S.
Dentist (General Practice)
12200 WESTERN AVE, #108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. SHEBA SARWAT KHAN D.D.S.
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. COLIN M HALEY D.D.S.
Dentist (General Practice)
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
EHAB TAHER AWADI GHANDOUR DMD
Dentist
12200 WESTERN AVE, STE 108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Carbajal's NPI number?

The NPI number for Brenda Carbajal is 1013523620. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Brenda Carbajal located?

Brenda Carbajal practices at 12200 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 631-2781.

What is Brenda Carbajal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brenda Carbajal enrolled in Medicare?

Yes. Brenda Carbajal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brenda Carbajal affiliated with any hospitals?

According to CMS data, Brenda Carbajal is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Brenda Carbajal was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.