DR. ELBA MARITZA VILLAVICENCIO M.D.
NPI 1720318074
Family Medicine in Berwyn, IL
About Dr. Elba Maritza Villavicencio M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELBA MARITZA VILLAVICENCIO M.D. (NPI 1720318074) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036131538) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Gurnee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Elba Maritza Villavicencio 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elba Villavicencio's NPI number?
The NPI number for Elba Villavicencio is 1720318074. It was assigned to this individual provider in the NPPES registry on January 9, 2010.
Where is Elba Villavicencio located?
Elba Villavicencio practices at 7000 Cermak Rd, Berwyn, IL 60402. The listed phone number is (708) 484-8090.
What is Elba Villavicencio's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elba Villavicencio enrolled in Medicare?
Yes. Elba Villavicencio 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.
Is Elba Villavicencio affiliated with any hospitals?
According to CMS data, Elba Villavicencio is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Elba Villavicencio was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
