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MR. PHILIP SEBASTIAN MACIUKIEWICZ M.D.
NPI 1619439809
Anesthesiology in Maywood, IL

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
2160 S FIRST AVENUE, BUILDING 103 ROOM 3107, MAYWOOD, IL 60153(708) 216-9169(708) 216-1249 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2023, Nov 27, 2019, Aug 19, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Philip Sebastian Maciukiewicz M.d. NPPES

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

MR. PHILIP SEBASTIAN MACIUKIEWICZ M.D. (NPI 1619439809) is an individual anesthesiology provider in Maywood, Illinois, licensed in Illinois (125.074702) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619439809
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMR. PHILIP SEBASTIAN MACIUKIEWICZCredential: M.D.
Location Address2160 S FIRST AVENUE, BUILDING 103 ROOM 3107Maywood, IL 60153
Mailing Address2160 S First Avenue, Building 103 Room 3107Maywood, IL 60153 · (708) 216-9169 · Fax (708) 216-1249
Phone(708) 216-9169
Fax(708) 216-1249
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 5, 2019
Last NPPES UpdateNovember 27, 20194 updates tracked since enumeration
✔ NPI 1619439809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IL · 125.074702
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2160 S FIRST AVENUE, Maywood, IL 60153
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mr. Philip Sebastian Maciukiewicz 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 ID547705758
PECOS Enrollment IDI20240711004360
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 Reassignment

Medicare enrollment records show Philip Maciukiewicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otero County Hospital Association
1,167 mi
General Acute Care Hospital
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 417 clinicians in this Medicare group
NPI 1861450579 (575) 439-6100

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 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.

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.
167 services102 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
119 services119 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
30 services27 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

BRIAN A CANAVAN MD
Specialist
2160 S FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
CHICAGO, IL 60153
Cook County (617) 838-3852

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 Philip Maciukiewicz's NPI number?

The NPI number for Philip Maciukiewicz is 1619439809. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Philip Maciukiewicz located?

Philip Maciukiewicz practices at 2160 S First Avenue Building 103 Room 3107, Maywood, IL 60153. The listed phone number is (708) 216-9169.

What is Philip Maciukiewicz's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Philip Maciukiewicz enrolled in Medicare?

Yes. Philip Maciukiewicz 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 organization bills Medicare for Philip Maciukiewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Maciukiewicz reassigns Medicare benefits to Otero County Hospital Association (Alamogordo, NM). The 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 Philip Maciukiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Maciukiewicz accept?

Health plans from Blue Cross and Blue Shield of Texas list Philip Maciukiewicz 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 Philip Maciukiewicz affiliated with any hospitals?

According to CMS data, Philip Maciukiewicz is affiliated with Gerald Champion Regional Medical Center and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Maciukiewicz was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.