MADELYN BRIANA PEHA MD
NPI 1104575919
Pediatrics in Chicago, IL

Q: What is Madelyn Peha's NPI number?

The NPI number for Madelyn Peha is 1104575919. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Q: What is Madelyn Peha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Madelyn Peha was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 20, 2022PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Madelyn Briana Peha Md NPPES

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

MADELYN BRIANA PEHA MD (NPI 1104575919) is an individual pediatrics provider in Chicago, Illinois, licensed in Washington (MD61667894) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104575919

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMADELYN BRIANA PEHACredential: MD

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-4000

Phone(312) 227-4000

Sole ProprietorNo

Enumeration DateMarch 20, 2022

Last NPPES UpdateJune 4, 2025

NPPES CertifiedJune 4, 2025

✔ NPI 1104575919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD61667894

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

225 E CHICAGO AVE, Chicago, IL 60611

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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)

Madelyn Briana Peha 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics