MADELINE STARK M.D.
NPI 1235520040
Obstetrics & Gynecology in Chicago, IL

Active since February 16, 2015PECOS EnrolledAccepts Medicare Assignment
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-8060 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 20, 2020, Jul 1, 2016, May 12, 2016 (3 updates tracked since 2016).

About Madeline Stark M.d. NPPES

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

MADELINE STARK M.D. (NPI 1235520040) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (125069420) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1235520040
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMADELINE STARKCredential: M.D.
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address1653 W Congress PkwyChicago, IL 60612-3833 · (312) 942-8060
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016
Enumeration DateFebruary 16, 2015
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1235520040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 125069420
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1653 W CONGRESS PKWY, Chicago, IL 60612

Secondary Practice Location 1

Location 11653 W Congress Pkwy # 720, Rush University Medical CenterChicago, IL 60612-3833 · Phone (312) 942-6610

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

Madeline Stark M.d. 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 ID3375835358
PECOS Enrollment IDI20200928002340
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

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
$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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

Internal Medicine
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612

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 Madeline Stark's NPI number?

The NPI number for Madeline Stark is 1235520040. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Madeline Stark located?

Madeline Stark practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-8060.

What is Madeline Stark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Madeline Stark enrolled in Medicare?

Yes. Madeline Stark 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 Madeline Stark accept?

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

According to CMS data, Madeline Stark is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Madeline Stark was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.