DR. ELEANOR INGRID BUCHOLZ MD
NPI 1588925515
Surgery - Plastic and Reconstructive Surgery in Maywood, IL

Q: What is Eleanor Bucholz's NPI number?

The NPI number for Eleanor Bucholz is 1588925515. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Eleanor Bucholz's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Eleanor Bucholz was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2020, Oct 10, 2019 (2 updates tracked since 2019).

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About Dr. Eleanor Ingrid Bucholz Md NPPES

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

DR. ELEANOR INGRID BUCHOLZ MD (NPI 1588925515) is an individual plastic and reconstructive surgery provider in Maywood, Illinois, licensed in Illinois (036150600) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1588925515

Entity TypeIndividualFemale

Primary Taxonomy2086S0122X

Provider Legal NameDR. ELEANOR INGRID BUCHOLZCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 6, 2012

Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1588925515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in IL · 036150600

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 13635 Vista AveSaint Louis, MO 63110-2539 · Phone (314) 577-8317 ext. 4 · Fax (314) 268-5466

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

Dr. Eleanor Ingrid Bucholz 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 ID3577866474

PECOS Enrollment IDI20191021002029

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.

19 services13 patients

Hospital Affiliations CMS Care Compare

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

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

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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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)