DR. MA. OLIVIA ROQUE SAN DIEGO MD
NPI 1285842997
Pediatrics in Chicago, IL

Q: What is Ma. Olivia San Diego's NPI number?

The NPI number for Ma. Olivia San Diego is 1285842997. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Ma. Olivia Santos Roque MD.

Q: What is Ma. Olivia San Diego's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 18, 2007PECOS Enrolled

1044 N MOZART ST, STE 205, CHICAGO, IL 60622(773) 489-2912(773) 489-7330 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ma. Olivia Roque San Diego Md NPPES

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

DR. MA. OLIVIA ROQUE SAN DIEGO MD (NPI 1285842997) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036-130487) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285842997

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MA. OLIVIA ROQUE SAN DIEGOCredential: MD

Location Address1044 N MOZART ST, STE 205Chicago, IL 60622-2792

Mailing Address1044 N Mozart St, Ste 205Chicago, IL 60622-2792 · (773) 489-2912 · Fax (773) 489-7330

Phone(773) 489-2912

Fax(773) 489-7330

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1285842997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-130487

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1044 N MOZART ST, Chicago, IL 60622

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Other Names 1

Other Name (5)Ma. Olivia Santos Roque Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ma. Olivia Roque San Diego Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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.

OLGA L SAAVEDRA M.D. SC

Clinic/Center (Primary Care)

1044 N MOZART ST, SUITE 503
CHICAGO, IL 60622

Cook County (773) 772-9607

KRISTEN RICHTER

Nurse Practitioner

1044 N MOZART ST, SUITE 100
CHICAGO, IL 60622

Cook County (773) 292-8300

DR. AUREA D PRIMERO

Family Medicine

1044 N MOZART ST, SUITE 505
CHICAGO, IL 60622

Cook County (773) 235-6047

BRIDGET ELIZABETH TYNER SAROYA CPNP

Nurse Practitioner (Pediatrics)

1044 N MOZART ST, STE-402
CHICAGO, IL 60622

Cook County (773) 292-4501

ALFREDO P. SY M.D.

Family Medicine

1044 N MOZART ST, SUITE 203
CHICAGO, IL 60622

Cook County (773) 292-8300

CHRISTINE NOWICKI LCSW

Social Worker (Clinical)

1044 N MOZART ST
CHICAGO, IL 60622

Cook County (773) 292-8300

DR. GEORGE THOMAS AMPALLOOR MD

Pediatrics

1044 N MOZART ST, SUITE 402
CHICAGO, IL 60622

Cook County (773) 292-4501

EDMUNDO RIOJA MD

Obstetrics & Gynecology

1044 N MOZART ST
CHICAGO, IL 60622

Cook County (773) 292-2600

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 Ma. Olivia San Diego's NPI number?

The NPI number for Ma. Olivia San Diego is 1285842997. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Ma. Olivia Santos Roque MD.

Where is Ma. Olivia San Diego located?

Ma. Olivia San Diego practices at 1044 N Mozart St Ste 205, Chicago, IL 60622. The listed phone number is (773) 489-2912.

What is Ma. Olivia San Diego's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ma. Olivia San Diego enrolled in Medicare?

Yes. Ma. Olivia San Diego is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ma. Olivia San Diego was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.