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DR. ELBA MARITZA VILLAVICENCIO M.D.
NPI 1720318074
Family Medicine in Berwyn, IL

Active since January 09, 2010PECOS Enrolled
93.08/100
CMS Quality Rating
7000 CERMAK RD, BERWYN, IL 60402(708) 484-8090 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Feb 19, 2021, Nov 2, 2016 (3 updates tracked since 2016).

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 and maintains a secondary practice location in Gurnee.

NPPES Registry Identity

NPI1720318074
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELBA MARITZA VILLAVICENCIOCredential: M.D.
Location Address7000 CERMAK RDBerwyn, IL 60402-2112
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(708) 484-8090
Sole ProprietorNo
Enumeration DateJanuary 9, 2010
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1720318074 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 · 036131538
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.
7000 CERMAK RD, Berwyn, IL 60402
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Secondary Practice Location 1

Location 17900 Rollins Rd, Suite1100Gurnee, IL 60031-1512 · Phone (847) 356-3680

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elba Maritza Villavicencio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Elba Villavicencio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group, PC
14 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Endeavor Health Medical Group
16 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician 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.

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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers29 claims71 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims26 services$0.99 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 13

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

DR. RON J CHACKO MD
Family Medicine
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
MR. FRANK R PEREZ PA-C
Physician Assistant
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
DINORA FLORES NP
Nurse Practitioner (Family)
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
CLAUDELIA CANO FNP
Nurse Practitioner (Family)
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
MYRNA LUZ RIVAS
Pharmacist
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
ARTURO HERNANDEZ PA-C
Physician Assistant
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
RACHEL ELIZABETH VANDYKEN PA-C
Physician Assistant (Medical)
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090
MAYRA GONZALEZ M.D.
Family Medicine
7000 CERMAK RD
BERWYN, IL 60402
Cook County (708) 484-8090

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 enrollment system.

Which organizations bill Medicare for Elba Villavicencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elba Villavicencio reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group, PC (Chicago, IL) and Endeavor Health Medical Group (Evanston, 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 Elba Villavicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elba Villavicencio was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.