MARA DIVIS DO
NPI 1780824037
Family Medicine in Chicago, IL

Q: What is Mara Divis's NPI number?

The NPI number for Mara Divis is 1780824037. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Q: What is Mara Divis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mara Divis was last updated on April 11, 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.

Active since February 26, 2009PECOS EnrolledAccepts Medicare Assignment

97.71/100

CMS Quality Rating

5501 W FULLERTON AVE, CHICAGO, IL 60639(733) 957-4007(773) 395-9608 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2025, Jul 8, 2021 (2 updates tracked since 2021).

On this page

About Mara Divis Do NPPES

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

MARA DIVIS DO (NPI 1780824037) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036129431) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (2007).

NPPES Registry Identity

NPI1780824037

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARA DIVISCredential: DO

Location Address5501 W FULLERTON AVEChicago, IL 60639-1368

Mailing Address5501 W Fullerton AveChicago, IL 60639-1368 · (773) 395-7400 · Fax (773) 395-9608

Phone(733) 957-4007

Fax(773) 395-9608

Sole ProprietorYes

Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2007

Enumeration DateFebruary 26, 2009

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1780824037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036129431✔ Licensed in IN · 02003631A✔ Licensed in OH · 58.002346

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.

5501 W FULLERTON AVE, Chicago, IL 60639

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mara Divis Do 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 ID4688837800

PECOS Enrollment IDI20120524000603

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.

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 60639 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.

97.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.43

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

HANNAH GARRAD PA

Physician Assistant

5501 W FULLERTON AVE
CHICAGO, IL 60639

Cook County (773) 395-7400

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 Mara Divis's NPI number?

The NPI number for Mara Divis is 1780824037. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Mara Divis located?

Mara Divis practices at 5501 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (733) 957-4007.

What is Mara Divis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mara Divis enrolled in Medicare?

Yes. Mara Divis 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.

What insurance does Mara Divis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mara Divis 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 Mara Divis affiliated with any hospitals?

According to CMS data, Mara Divis is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Mara Divis was last updated on April 11, 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.