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MALLARI SOJOU PEACE FNP-BC
NPI 1225330608
Nurse Practitioner - Family in Chicago, IL

Active since November 17, 2010PECOS Enrolled
2045 W WASHINGTON BLVD, CHICAGO, IL 60612(312) 996-2000 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mallari Sojou Peace Fnp-bc NPPES

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

MALLARI SOJOU PEACE FNP-BC (NPI 1225330608) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.008468) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225330608
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLARI SOJOU PEACECredential: FNP-BC
Location Address2045 W WASHINGTON BLVDChicago, IL 60612-2428
Mailing Address533 E 33rd Pl Apt 505Chicago, IL 60616-4164 · (617) 763-7994
Phone(312) 996-2000
Sole ProprietorNo
Enumeration DateNovember 17, 2010
✔ NPI 1225330608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.008468
2045 W WASHINGTON BLVD, Chicago, IL 60612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallari Sojou Peace Fnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Mallari Peace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
0.5 mi
Federally Qualified Health Center (FQHC)
1628 W WASHINGTON BLVD
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1043510241 (312) 226-3288

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEEMA TALSANIA PATEL PHARMD, CDE
Pharmacist
2045 W WASHINGTON BLVD
CHICAGO, IL 60612
Cook County (312) 413-8110
DR. MYKELA KAROLE LOURY MD, MPH
Family Medicine
2045 W WASHINGTON BLVD
CHICAGO, IL 60612
Cook County (312) 413-1789
DR. JON ANDREW DYKENS MD
Family Medicine
2045 W WASHINGTON BLVD
CHICAGO, IL 60612
Cook County (312) 996-2000
LILIANA RUBIO APN, MSN
Nurse Practitioner (Family)
2045 W WASHINGTON BLVD
CHICAGO, IL 60612
Cook County (312) 413-7935

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 Mallari Peace's NPI number?

The NPI number for Mallari Peace is 1225330608. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Mallari Peace located?

Mallari Peace practices at 2045 W Washington Blvd, Chicago, IL 60612. The listed phone number is (312) 996-2000.

What is Mallari Peace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallari Peace enrolled in Medicare?

Yes. Mallari Peace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallari Peace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallari Peace reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Mallari Peace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallari Peace was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.