1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

MONICA MERCON TEZOLIN BARROS ALMEIDA M.D.
NPI 1437411659
Internal Medicine in Chicago, IL

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
2020 WEST HARRISON STREET, RUTH M. ROTHSTEIN CORE CENTER, CHICAGO, IL 60612(312) 572-4626 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 27, 2021, Aug 18, 2020, Jul 12, 2017 (3 updates tracked since 2017).

About Monica Mercon Tezolin Barros Almeida M.d. NPPES

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

MONICA MERCON TEZOLIN BARROS ALMEIDA M.D. (NPI 1437411659) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (0366138937) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1437411659
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONICA MERCON TEZOLIN BARROS ALMEIDACredential: M.D.
Location Address2020 WEST HARRISON STREET, RUTH M. ROTHSTEIN CORE CENTERChicago, IL 60612
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(312) 572-4626
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 13, 2012
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1437411659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 0366138937
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 036-138937 (IL)
2020 WEST HARRISON STREET, Chicago, IL 60612
Open in Google Maps ↗

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

Monica Mercon Tezolin Barros Almeida 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 ID446569230
PECOS Enrollment IDI20151019000012
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.
23 services17 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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 Monica Mercon Tezolin Barros Almeida's NPI number?

The NPI number for Monica Mercon Tezolin Barros Almeida is 1437411659. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Monica Mercon Tezolin Barros Almeida located?

Monica Mercon Tezolin Barros Almeida practices at 2020 West Harrison Street Ruth M. Rothstein Core Center, Chicago, IL 60612. The listed phone number is (312) 572-4626.

What is Monica Mercon Tezolin Barros Almeida's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Mercon Tezolin Barros Almeida enrolled in Medicare?

Yes. Monica Mercon Tezolin Barros Almeida 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 Monica Mercon Tezolin Barros Almeida accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Monica Mercon Tezolin Barros Almeida 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 Monica Mercon Tezolin Barros Almeida affiliated with any hospitals?

According to CMS data, Monica Mercon Tezolin Barros Almeida is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Monica Mercon Tezolin Barros Almeida was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.