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JANETTE MALDONADO MD
NPI 1033342548
Surgery in Chicago, IL

Active since August 31, 2009PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5140 N CALIFORNIA AVE STE 560, CHICAGO, IL 60625(773) 293-8878(773) 293-8879 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2021, Oct 30, 2020, Nov 18, 2019 (3 updates tracked since 2019).

About Janette Maldonado Md NPPES

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

JANETTE MALDONADO MD (NPI 1033342548) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036.130078) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).

NPPES Registry Identity

NPI1033342548
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJANETTE MALDONADOCredential: MD
Location Address5140 N CALIFORNIA AVE STE 560Chicago, IL 60625-2577
Mailing Address5140 N California Ave Ste 560-gmpChicago, IL 60625-2577 · (773) 293-8878 · Fax (773) 293-8879
Phone(773) 293-8878
Fax(773) 293-8879
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2009
Enumeration DateAugust 31, 2009
Last NPPES UpdateApril 7, 20213 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1033342548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.130078
Definition
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.
5140 N CALIFORNIA AVE STE 560, Chicago, IL 60625
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Janette Maldonado Md 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 ID9739308446
PECOS Enrollment IDI20140911000786
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 Reassignments

2

Medicare enrollment records show Janette Maldonado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc.
Same address
Obstetrics & Gynecology
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1760432348 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 7

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.

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.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 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.
15 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services11 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

CECYLIA K. MIZERA M.D.
Surgery (Surgical Oncology)
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625
Cook County (773) 275-4496
MELINDA ELLEN STACK M.D.
Colon & Rectal Surgery
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625
Cook County (847) 570-1700
DR. GIANLUCA LAZZARO M.D.
Surgery
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625
Cook County (312) 480-1945
KIM & MIZERA SURGICAL ASSOCIATES SC
Surgery
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625
Cook County (773) 275-4496

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 Janette Maldonado's NPI number?

The NPI number for Janette Maldonado is 1033342548. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Janette Maldonado located?

Janette Maldonado practices at 5140 N California Ave Ste 560, Chicago, IL 60625. The listed phone number is (773) 293-8878.

What is Janette Maldonado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Janette Maldonado enrolled in Medicare?

Yes. Janette Maldonado 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 organizations bill Medicare for Janette Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janette Maldonado reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc. (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). Each 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 Janette Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janette Maldonado accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Janette Maldonado 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 Janette Maldonado affiliated with any hospitals?

According to CMS data, Janette Maldonado is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Janette Maldonado was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.