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KARINA MARIEL CALDERON PA-C
NPI 1396304788
Physician Assistant - Surgical in Oak Park, IL

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
610 S MAPLE AVE STE 3700, OAK PARK, IL 60304(708) 660-6430(708) 660-6447 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Jun 10, 2019 (2 updates tracked since 2019).

About Karina Mariel Calderon Pa-c NPPES

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

KARINA MARIEL CALDERON PA-C (NPI 1396304788) is an individual surgical provider in Oak Park, Illinois, licensed in Illinois (085.007044) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396304788
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKARINA MARIEL CALDERONCredential: PA-C
Location Address610 S MAPLE AVE STE 3700Oak Park, IL 60304-2806
Mailing Address909 W Buena Ave Apt 3eChicago, IL 60613-1693
Phone(708) 660-6430
Fax(708) 660-6447
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 10, 2019
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1396304788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085.007044
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085.007044 (IL)
610 S MAPLE AVE STE 3700, Oak Park, IL 60304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Karina Mariel Calderon Pa-c 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 ID1951636646
PECOS Enrollment IDI20190717003334
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services19 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services15 patients
Change of breathing tube in windpipe 31502
A breathing tube change in the windpipe, or trachea, is a procedure to replace a tube that helps you breathe. It's done when the tube is blocked, damaged, or needs cleaning. It involves carefully removing the old tube and inserting a new one.
15 services15 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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers27 claims27 services$33.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

GABRIELLE MARIE MASCOLO AUD
Audiologist
610 S MAPLE AVE STE 3700
OAK PARK, IL 60304
Cook County (708) 660-6430
SYLWIA M. JANDURA PA-C
Physician Assistant
610 S MAPLE AVE STE 3700
OAK PARK, IL 60304
Cook County (708) 660-6490
MICHAEL HUTZ M.D
Otolaryngology
610 S MAPLE AVE STE 3700
OAK PARK, IL 60304
Cook County (708) 660-6430
REILLY A FINK PA-C
Physician Assistant
610 S MAPLE AVE STE 3700
OAK PARK, IL 60304
Cook County (708) 660-6490

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 Karina Calderon's NPI number?

The NPI number for Karina Calderon is 1396304788. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Karina Calderon located?

Karina Calderon practices at 610 S Maple Ave Ste 3700, Oak Park, IL 60304. The listed phone number is (708) 660-6430.

What is Karina Calderon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Karina Calderon enrolled in Medicare?

Yes. Karina Calderon 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 Karina Calderon accept?

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

According to CMS data, Karina Calderon is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Karina Calderon was last updated on March 4, 2022. 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.