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DAIVA KRISTINA VALAITIS MD
NPI 1114905544
Internal Medicine - Nephrology in Chicago, IL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
7447 W TALCOTT AVE, SUITE 463, CHICAGO, IL 60631(773) 763-8400(773) 774-8085 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daiva Kristina Valaitis Md NPPES

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

DAIVA KRISTINA VALAITIS MD (NPI 1114905544) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036073032) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1984).

NPPES Registry Identity

NPI1114905544
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDAIVA KRISTINA VALAITISCredential: MD
Location Address7447 W TALCOTT AVE, SUITE 463Chicago, IL 60631-3745
Mailing Address7447 W Talcott Ave, Suite 463Chicago, IL 60631-3745 · (773) 763-8400 · Fax (773) 774-8085
Phone(773) 763-8400
Fax(773) 774-8085
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984
Enumeration DateJanuary 5, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1114905544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036073032
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
7447 W TALCOTT AVE, Chicago, IL 60631
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daiva Kristina Valaitis 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 ID8527116441
PECOS Enrollment IDI20130528000722
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.

Areas of Expertise CMS Part B claims 10

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.

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.
662 services98 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
254 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
231 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
194 services105 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
175 services60 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
114 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.07
Improvement Activities40
Cost63.59

Reported Quality Measures

Controlling High Blood Pressure
89%171 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%49 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%663 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%264 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
42%108 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 192 patients
100%192 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers39 claims3,755 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims2,160 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers29 claims29 services$16.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers34 claims37 services$12.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. JOHN B BELLO M.D.
Ophthalmology
7447 W TALCOTT AVE, SUITE 406
CHICAGO, IL 60631
Cook County (773) 775-9755
ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS
Obstetrics & Gynecology
7447 W TALCOTT AVE, SUITE 418
CHICAGO, IL 60631
Cook County (773) 775-2180
DR. ELIZABETH P DIAZ MD
Nurse Practitioner (Pediatrics)
7447 W TALCOTT AVE, SUITE 269
CHICAGO, IL 60631
Cook County (773) 792-2727
VIJAY H. VOHRA M.D.,S.C.
Internal Medicine (Cardiovascular Disease)
7447 W TALCOTT AVE, SUITE 222
CHICAGO, IL 60631
Cook County (773) 774-5245
BEATA S BEDNARSKA MD PC
Family Medicine
7447 W TALCOTT AVE, STE 308, PROFESSIONAL RESURRECTION BLD
CHICAGO, IL 60631
Cook County (773) 763-7522
KATHRYN SKOLARZ, M.D., S.C.
Family Medicine
7447 W TALCOTT AVE, SUITE 366
CHICAGO, IL 60631
Cook County (773) 594-1410
CONNER MICHAEL LAI MD
Family Medicine
7447 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5155
DR. BIRGITTA T MCGUIRE MD
Family Medicine
7447 W TALCOTT AVE, SUITE 409
CHICAGO, IL 60631
Cook County (773) 763-3808

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 Daiva Valaitis's NPI number?

The NPI number for Daiva Valaitis is 1114905544. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Daiva Valaitis located?

Daiva Valaitis practices at 7447 W Talcott Ave Suite 463, Chicago, IL 60631. The listed phone number is (773) 763-8400.

What is Daiva Valaitis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Daiva Valaitis enrolled in Medicare?

Yes. Daiva Valaitis 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.

What insurance does Daiva Valaitis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Daiva Valaitis 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 Daiva Valaitis affiliated with any hospitals?

According to CMS data, Daiva Valaitis is affiliated with Presence Saint Francis Hospital, Amita Health Resurrection Medical Center, Advocate Lutheran General Hospital and Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Daiva Valaitis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.