DR. SONIA MILAGRO CARABALLO-CARTAGENA MD
NPI 1184025132
Psychiatry & Neurology - Neurology in Schaumburg, IL

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
1325 N MEACHAM RD, SCHAUMBURG, IL 60173(847) 931-4626(847) 931-4794 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 9, 2025, Mar 10, 2023, Dec 5, 2022 and 8 more (11 updates tracked since 2016).

About Dr. Sonia Milagro Caraballo-cartagena Md NPPES

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

DR. SONIA MILAGRO CARABALLO-CARTAGENA MD (NPI 1184025132) is an individual neurology provider in Schaumburg, Illinois, licensed in Illinois (036-163243) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1184025132
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SONIA MILAGRO CARABALLO-CARTAGENACredential: MD
Location Address1325 N MEACHAM RDSchaumburg, IL 60173-4824
Mailing Address29373 Network PlChicago, IL 60673-4959 · (847) 390-5900
Fax(847) 931-4794
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015
Enumeration DateSeptember 9, 2014
Last NPPES UpdateOctober 9, 202511 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1184025132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IL · 036-163243 Licensed in IN · 01086421A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 21166 (PR), 01086421A (IN)
1325 N MEACHAM RD, Schaumburg, IL 60173

Accepted 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

Dr. Sonia Milagro Caraballo-cartagena 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 ID7517384399
PECOS Enrollment IDI20230203001687
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 8

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,358 services11 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
69 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 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.
44 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60173 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.

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.

Surgery (Surgical Oncology)
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Family Medicine
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Nurse Practitioner
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Otolaryngology
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Physical Therapist
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Physical Therapist
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Internal Medicine (Interventional Cardiology)
1325 N MEACHAM RD
SCHAUMBURG, IL 60173
Orthopaedic Surgery
1325 N MEACHAM RD
SCHAUMBURG, IL 60173

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 Sonia Caraballo-cartagena's NPI number?

The NPI number for Sonia Caraballo-cartagena is 1184025132. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Sonia Caraballo-cartagena located?

Sonia Caraballo-cartagena practices at 1325 N Meacham Rd, Schaumburg, IL 60173. The listed phone number is (847) 931-4626.

What is Sonia Caraballo-cartagena's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sonia Caraballo-cartagena enrolled in Medicare?

Yes. Sonia Caraballo-cartagena 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 Sonia Caraballo-cartagena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Sonia Caraballo-cartagena 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 Sonia Caraballo-cartagena affiliated with any hospitals?

According to CMS data, Sonia Caraballo-cartagena is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Caraballo-cartagena was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.