DR. MARC J OVADIA M.D.
NPI 1356342398
Pediatrics - Pediatric Cardiology in Hoffman Estates, IL

Q: What is Marc Ovadia's NPI number?

The NPI number for Marc Ovadia is 1356342398. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Q: What is Marc Ovadia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Marc Ovadia was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment

1555 BARRINGTON RD., STE. 3350, HOFFMAN ESTATES, IL 60169(847) 823-0843(847) 490-4048 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 3, 2026, Aug 24, 2026, Jun 9, 2022 and 1 more (4 updates tracked since 2021).

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About Dr. Marc J Ovadia M.d. NPPES

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

DR. MARC J OVADIA M.D. (NPI 1356342398) is an individual pediatric cardiology provider in Hoffman Estates, Illinois, licensed in New York (170004) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and maintains a secondary practice location in Terre Haute.

NPPES Registry Identity

NPI1356342398

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MARC J OVADIACredential: M.D.

Location Address1555 BARRINGTON RD., STE. 3350Hoffman Estates, IL 60169-1023

Mailing AddressPo Box 537Park Ridge, IL 60068-0537 · (773) 612-4184 · Fax (847) 692-6755

Phone(847) 823-0843

Fax(847) 490-4048

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984

Enumeration DateAugust 1, 2005

Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1356342398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in NY · 170004✔ Licensed in IL · 036103080✔ Licensed in IN · 01056392A

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 036103080 (IL)

Also ListedPediatricsTaxonomy 208000000X · License 036103080 (IL)

1555 BARRINGTON RD., Hoffman Estates, IL 60169

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Secondary Practice Location 1

Location 11429 N 6th StTerre Haute, IN 47807-1019 · Phone (812) 232-0564

Other Identifiers 2

Medicaid036-103080-3IL

Medicaid036103080IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc J Ovadia 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 ID5597660902

PECOS Enrollment IDI20031217000573

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 Reassignments

Medicare enrollment records show Marc Ovadia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ep Consultation Ltd

Same address

Specialist

1555 BARRINGTON RD., STE. 3350
Hoffman Estates, IL 60169

Reassigned Medicare billing, Illinois enrollment

NPI 1972793164 (847) 823-0843

Lutheran General Hospital

15 mi

Cardiovascular Disease

1775 DEMPSTER ST
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1801809306 (847) 723-2210

Rockford Health Physicians

46 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Cgh Medical Center

82 mi

Family Medicine

101 E MILLER RD
Sterling, IL 61081

Reassigned Medicare billing, Illinois enrollment
356 clinicians in this Medicare group

NPI 1548540636 (815) 625-4790

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

Areas of Expertise CMS Part B claims 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

117 services75 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.

78 services54 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.

33 services33 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

26 services19 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

22 services19 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.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140043

Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

MARK CABIN M.D.

Ophthalmology

1555 BARRINGTON RD., SUITE 120
HOFFMAN ESTATES, IL 60169

Cook County (847) 843-3242

EP CONSULTATION LTD

Specialist

1555 BARRINGTON RD., STE. 3350
HOFFMAN ESTATES, IL 60169

Cook County (847) 823-0843

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 Marc Ovadia's NPI number?

The NPI number for Marc Ovadia is 1356342398. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Marc Ovadia located?

Marc Ovadia practices at 1555 Barrington Rd. Ste. 3350, Hoffman Estates, IL 60169. The listed phone number is (847) 823-0843.

What is Marc Ovadia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Marc Ovadia enrolled in Medicare?

Yes. Marc Ovadia 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.

Which organizations bill Medicare for Marc Ovadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Ovadia reassigns Medicare benefits to 4 organizations: Ep Consultation Ltd (Hoffman Estates, IL), Lutheran General Hospital (Park Ridge, IL), Rockford Health Physicians (Rockford, IL) and Cgh Medical Center (Sterling, IL). Each 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 Marc Ovadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Ovadia accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Marc Ovadia 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 Marc Ovadia affiliated with any hospitals?

According to CMS data, Marc Ovadia is affiliated with Cgh Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Ovadia was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.