Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BIANCA MADRID M.D.
NPI 1780099960
Internal Medicine - Nephrology in Chicago, IL

Active since June 25, 2014PECOS Enrolled
1725 W HARRISON ST STE 762, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Sep 21, 2026, Aug 18, 2020 (3 updates tracked since 2020).

About Bianca Madrid M.d. NPPES

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

BIANCA MADRID M.D. (NPI 1780099960) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036.148788) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780099960
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameBIANCA MADRIDCredential: M.D.
Location Address1725 W HARRISON ST STE 762Chicago, IL 60612-3852
Mailing Address1725 W Harrison St Ste 762Chicago, IL 60612-3852 · (312) 942-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2014
Last NPPES UpdateNovember 6, 20263 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1780099960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036.148788
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1725 W HARRISON ST STE 762, Chicago, IL 60612

Accepted 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

Bianca Madrid 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 ID5092135285
PECOS Enrollment IDI20240722000638
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 Bianca Madrid reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services13 patients
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.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

Internal Medicine (Nephrology)
1725 W HARRISON ST STE 762
CHICAGO, IL 60612
Nurse Practitioner (Family)
1725 W HARRISON ST STE 762
CHICAGO, IL 60612

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 Bianca Madrid's NPI number?

The NPI number for Bianca Madrid is 1780099960. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Bianca Madrid located?

Bianca Madrid practices at 1725 W Harrison St Ste 762, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Bianca Madrid's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Bianca Madrid enrolled in Medicare?

Yes. Bianca Madrid 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 Bianca Madrid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Madrid reassigns Medicare benefits to 2 organizations: Cook County (Chicago, IL) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Bianca Madrid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bianca Madrid accept?

Health plans from Ambetter Health list Bianca Madrid 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 Bianca Madrid affiliated with any hospitals?

According to CMS data, Bianca Madrid is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Bianca Madrid was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.