GLADYS MACAGBA D.O
NPI 1093028359
Internal Medicine in Hazel Crest, IL
About Gladys Macagba D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLADYS MACAGBA D.O (NPI 1093028359) is an individual internal medicine provider in Hazel Crest, Illinois, licensed in Illinois (036-133694) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Gladys Macagba D.o 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.
Medicare Billing Reassignments
4Medicare enrollment records show Gladys Macagba reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Joliet, IL 60435
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Des Plaines Physician Services PC
- 21 clinicians in this Medicare group
Kankakee, IL 60901
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
Des Plaines, IL 60016
- Reassigned Medicare billing, Illinois enrollment
- 443 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence St Marys Hospital
Acute Care Hospitals · Kankakee, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
HAZEL CREST, IL 60429
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 Gladys Macagba's NPI number?
The NPI number for Gladys Macagba is 1093028359. It was assigned to this individual provider in the NPPES registry on July 15, 2010.
Where is Gladys Macagba located?
Gladys Macagba practices at 17800 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (312) 609-0300.
What is Gladys Macagba's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gladys Macagba enrolled in Medicare?
Yes. Gladys Macagba 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 Gladys Macagba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gladys Macagba reassigns Medicare benefits to 4 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Des Plaines Physician Services, P.C. (Joliet, IL), Associates Of Integrated Medicine Ltd. (Kankakee, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Gladys Macagba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gladys Macagba accept?
Health plans from Oscar Health list Gladys Macagba 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 Gladys Macagba affiliated with any hospitals?
According to CMS data, Gladys Macagba is affiliated with Presence St Marys Hospital and Riverside Medical Center.
When was this NPI record last updated?
The NPPES record for Gladys Macagba was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gladys Macagba, D.O · NPI 1093028359
Internal Medicine physician in Hazel Crest, Illinois. Individual provider, active in the CMS NPPES registry since July 15, 2010.
## Identity
- **NPI:** 1093028359 (Entity type: Individual)
- **Enumerated:** July 15, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036-133694 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17800 KEDZIE AVE, Hazel Crest, IL 60429-2029
- **Phone:** (312) 609-0300 · **Fax:** (708) 747-6830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Advocate Health & Hospitals Corporation (NPI 1912936014, Oak Lawn, IL); Des Plaines Physician Services, P.C. (NPI 1164284055, Joliet, IL); Associates Of Integrated Medicine Ltd. (NPI 1427407345, Kankakee, IL); Prime Healthcare Illinois Medical Group LLC (NPI 1023837689, Des Plaines, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 20, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1093028359) · Data from the CMS NPPES public registry.