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EDMUNDO CORTEZ M.D.
NPI 1386675098
Pediatrics in Chicago, IL

Active since July 05, 2006PECOS Enrolled
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-7154 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edmundo Cortez M.d. NPPES

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

EDMUNDO CORTEZ M.D. (NPI 1386675098) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036-094774) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386675098
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDMUNDO CORTEZCredential: M.D.
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address1653 W Congress PkwyChicago, IL 60612-3833 · (312) 942-7154
Phone(312) 942-7154
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1386675098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-094774
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.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 036-094774 (IL)
1653 W CONGRESS PKWY, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmundo Cortez M.d. 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 Reassignments

2

Medicare enrollment records show Edmundo Cortez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Fo The University Of Illinois
0.3 mi
Oral and Maxillofacial Surgery
811 S PAULINA ST # MC588
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
  • 2,127 clinicians in this Medicare group
NPI 1326483991 (312) 996-7546
Shriners Hospitals For Children
7.2 mi
Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1326536574 (773) 622-3351

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 20

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

KAITLIN ROBLING MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5000
LAUREN ELIZABETH ARSENAULT MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5781
ALEX MICHAEL JAMES
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (888) 352-7874
WERNER MEIER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-7154
UNIVERSITY PATHOLOGISTS P C
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5700
RUSH UNIVERSITY MEDICAL CENTER
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Cook County (312) 942-2054
DR. PATOULA PANAGOS-BILLIRIS MD
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Cook County (312) 942-3306
KAREN HARVEY
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 947-0100

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 Edmundo Cortez's NPI number?

The NPI number for Edmundo Cortez is 1386675098. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Edmundo Cortez located?

Edmundo Cortez practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-7154.

What is Edmundo Cortez's specialty?

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

Is Edmundo Cortez enrolled in Medicare?

Yes. Edmundo Cortez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edmundo Cortez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmundo Cortez reassigns Medicare benefits to 2 organizations: Board Of Trustees Fo The University Of Illinois (Chicago, IL) and Shriners Hospitals For Children (Chicago, 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 Edmundo Cortez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmundo Cortez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and AmeriHealth Caritas Next list Edmundo Cortez 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.

When was this NPI record last updated?

The NPPES record for Edmundo Cortez was last updated on December 23, 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.