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ROSAURA LICEA MD
NPI 1548299225
Family Medicine in Cicero, IL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
5712 W 35TH ST, CICERO, IL 60804(708) 656-5485(708) 656-5657 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rosaura Licea Md NPPES

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

ROSAURA LICEA MD (NPI 1548299225) is an individual family medicine provider in Cicero, Illinois, licensed in Illinois (036-091269) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Chicago College Of Medicine And Surgery (1993).

NPPES Registry Identity

NPI1548299225
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSAURA LICEACredential: MD
Location Address5712 W 35TH STCicero, IL 60804-4222
Mailing Address5712 W 35th StCicero, IL 60804-4222 · (708) 656-5485 · Fax (708) 656-5657
Phone(708) 656-5485
Fax(708) 656-5657
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1993
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 16, 2009
✔ NPI 1548299225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-091269
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5712 W 35TH ST, Cicero, IL 60804
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Other Identifiers 3

OtherK30405IL · Medicare Individual Ptan
Medicare UPING49106
Medicaid036091269IL

Accepted Insurance

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

Rosaura Licea Md 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 ID4789580721
PECOS Enrollment IDI20040105000094
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 Rosaura Licea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cicero Medical Clinica San Lazaro LLC
Same address
Family Medicine
5712 W 35TH ST
Cicero, IL 60804
  • Reassigned Medicare billing, Illinois enrollment
NPI 1295822716 (708) 656-5485
Family Medical & Aesthetics, LLC
2.3 mi
Family Medicine
7036 CERMAK RD
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1578410031 (708) 484-9145

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60804 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims28 services$4.50 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 2

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

CICERO MEDICAL CLINICA SAN LAZARO LLC
Family Medicine
5712 W 35TH ST
CICERO, IL 60804
Cook County (708) 656-5485
TIFFANY HILLIARD
Nurse Practitioner (Family)
5712 W 35TH ST
CICERO, IL 60804
Cook County (708) 656-5485

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 Rosaura Licea's NPI number?

The NPI number for Rosaura Licea is 1548299225. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Rosaura Licea located?

Rosaura Licea practices at 5712 W 35th St, Cicero, IL 60804. The listed phone number is (708) 656-5485.

What is Rosaura Licea's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rosaura Licea enrolled in Medicare?

Yes. Rosaura Licea 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 Rosaura Licea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosaura Licea reassigns Medicare benefits to 2 organizations: Cicero Medical Clinica San Lazaro LLC (Cicero, IL) and Family Medical & Aesthetics, LLC (Berwyn, 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 Rosaura Licea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosaura Licea accept?

Health plans from Ambetter Health and Oscar Health list Rosaura Licea 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 Rosaura Licea affiliated with any hospitals?

According to CMS data, Rosaura Licea is affiliated with Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Rosaura Licea was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.