MARIA RAMIREZ
NPI 1013546753
Family Medicine in Berwyn, IL

Q: What is Maria Ramirez's NPI number?

The NPI number for Maria Ramirez is 1013546753. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Q: What is Maria Ramirez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Ramirez was last updated on August 8, 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.

Active since April 04, 2020PECOS EnrolledAccepts Medicare Assignment

3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-9100 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Jun 22, 2020, Apr 4, 2020 (3 updates tracked since 2020).

On this page

About Maria Ramirez NPPES

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

MARIA RAMIREZ (NPI 1013546753) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036165775) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013546753

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIA RAMIREZ

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address675 W North Ave, Professional Office Building, Suites 210Melrose Park, IL 60160 · (888) 584-7888

Phone(708) 783-9100

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 4, 2020

Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1013546753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036165775✔ Licensed in IL · 125077148

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3249 OAK PARK AVE, Berwyn, IL 60402

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Ramirez 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 ID2365859394

PECOS Enrollment IDI20230829002315

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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Ramirez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loyola University Medical Center

2.9 mi

General Practice

2160 S 1ST AVE
Maywood, IL 60153

Reassigned Medicare billing, Illinois enrollment
1,138 clinicians in this Medicare group

NPI 1336159961 (708) 216-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.

109 services78 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

62 services51 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

60 services60 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

20 services20 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 20

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

MRS. DANIELLE GENGO R.D.

Dietitian, Registered

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3077

GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

General Practice

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3125

PATRICIA NAUGHTON MD

Obstetrics & Gynecology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3792

PAUL G FAINE M.D.

Emergency Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-9100

DR. BHARTI RAIZADA M.D,

Anesthesiology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6339

SHEENA REDDY KODAVALURU M.D.

Internal Medicine

3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402

Cook County (708) 783-9100

DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD

Student in an Organized Health Care Education/Training Program

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6566

DR. JUSTYNA KUKULKA-HOFFMEISTER MD

Family Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-2000

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 Maria Ramirez's NPI number?

The NPI number for Maria Ramirez is 1013546753. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Maria Ramirez located?

Maria Ramirez practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-9100.

What is Maria Ramirez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Ramirez enrolled in Medicare?

Yes. Maria Ramirez 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.

Which organization bills Medicare for Maria Ramirez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Ramirez reassigns Medicare benefits to Loyola University Medical Center (Maywood, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Ramirez accept?

Health plans from Oscar Health list Maria Ramirez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maria Ramirez affiliated with any hospitals?

According to CMS data, Maria Ramirez is affiliated with Loyola Gottlieb Memorial Hospital, Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Ramirez was last updated on August 8, 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.