DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD
NPI 1033813720
Student in an Organized Health Care Education/Training Program in Berwyn, IL

Q: What is Angela Alcarraz Bedrillana's NPI number?

The NPI number for Angela Alcarraz Bedrillana is 1033813720. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Angela Alcarraz Bedrillana's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 28, 2023PECOS Enrolled

3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-6566(708) 783-6566 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Oct 11, 2023, Jun 6, 2023 and 1 more (4 updates tracked since 2023).

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About Dr. Angela Dianira Alcarraz Bedrillana Md NPPES

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

DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD (NPI 1033813720) is an individual student in an organized health care education/training program in Berwyn, Illinois, licensed in Illinois (1250824400) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033813720

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ANGELA DIANIRA ALCARRAZ BEDRILLANACredential: MD

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address3249 Oak Park AveBerwyn, IL 60402-3429 · (708) 783-3347

Phone(708) 783-6566

Fax(708) 783-6566

Sole ProprietorYes

Enumeration DateMarch 28, 2023

Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1033813720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 1250824400

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 1250824400 (IL)

3249 OAK PARK AVE, Berwyn, IL 60402

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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 (PECOS)

Dr. Angela Dianira Alcarraz Bedrillana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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