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DR. IRMA TERESA UGALDE M.D.
NPI 1043400211
Pediatrics - Pediatric Emergency Medicine in Chicago, IL

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Jun 12, 2023 (2 updates tracked since 2023).

About Dr. Irma Teresa Ugalde M.d. NPPES

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

DR. IRMA TERESA UGALDE M.D. (NPI 1043400211) is an individual pediatric emergency medicine provider in Chicago, Illinois, licensed in Illinois (036172392) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2003).

NPPES Registry Identity

NPI1043400211
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. IRMA TERESA UGALDECredential: M.D.
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(888) 824-0200
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003
Enumeration DateJuly 25, 2007
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1043400211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in IL · 036172392
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Accepted Insurance

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

Dr. Irma Teresa Ugalde M.d. 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 ID9234210113
PECOS Enrollment IDI20250117001564
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

4

Medicare enrollment records show Irma Ugalde reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Acs Primary Care Physicians Southwest, PA
766 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600
Ut Physicians
940 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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

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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Irma Ugalde's NPI number?

The NPI number for Irma Ugalde is 1043400211. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Irma Ugalde located?

Irma Ugalde practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Irma Ugalde's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Irma Ugalde enrolled in Medicare?

Yes. Irma Ugalde 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 Irma Ugalde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irma Ugalde reassigns Medicare benefits to 4 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL), Acs Primary Care Physicians Southwest, PA (Gainesville, TX) and Ut Physicians (Houston, TX). 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 Irma Ugalde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irma Ugalde accept?

Health plans from Oscar Insurance Company list Irma Ugalde 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.

When was this NPI record last updated?

The NPPES record for Irma Ugalde was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.