YESENIA VALDIVIA MD
NPI 1225657497
Family Medicine in Chicago, IL

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
2001 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 584-6200 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2020, Jun 17, 2020, Apr 14, 2020 and 1 more (4 updates tracked since 2020).

About Yesenia Valdivia Md NPPES

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

YESENIA VALDIVIA MD (NPI 1225657497) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036166220) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225657497
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYESENIA VALDIVIACredential: MD
Location Address2001 S CALIFORNIA AVEChicago, IL 60608-2486
Mailing Address2001 S California Ave # 100Chicago, IL 60608-2486 · (773) 584-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateSeptember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1225657497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036166220
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2001 S CALIFORNIA AVE, Chicago, IL 60608

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

Yesenia Valdivia 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 ID1658787841
PECOS Enrollment IDI20240226000202
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.

Hospital Affiliations CMS Care Compare

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

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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.

Family Medicine
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Obstetrics & Gynecology
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Internal Medicine
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Advanced Practice Midwife
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Family Medicine
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Internal Medicine
2001 S CALIFORNIA AVE
CHICAGO, IL 60608
Clinic/Center (Federally Qualified Health Center (FQHC))
2001 S CALIFORNIA AVE, SUITE 100
CHICAGO, IL 60608
Nurse Practitioner (Family)
2001 S CALIFORNIA AVE
CHICAGO, IL 60608

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 Yesenia Valdivia's NPI number?

The NPI number for Yesenia Valdivia is 1225657497. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Yesenia Valdivia located?

Yesenia Valdivia practices at 2001 S California Ave, Chicago, IL 60608. The listed phone number is (773) 584-6200.

What is Yesenia Valdivia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yesenia Valdivia enrolled in Medicare?

Yes. Yesenia Valdivia 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 Yesenia Valdivia accept?

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

According to CMS data, Yesenia Valdivia is affiliated with Saint Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Yesenia Valdivia was last updated on September 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.