1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

MARA DIVIS DO
NPI 1780824037
Family Medicine in Chicago, IL

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mara Divis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
Same address
Primary Care
5501 W. FULLERTON AVE
Chicago, IL 60639
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1689794489 (312) 395-7400
Erie Family Health Center Inc
3.4 mi
Federally Qualified Health Center (FQHC)
4305 W MADISON ST
Chicago, IL 60624
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group
NPI 1548062318 (312) 666-3494

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

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
Quality75.43
Promoting Interoperability100
Improvement Activities40

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.

Which organizations bill Medicare for Mara Divis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Divis reassigns Medicare benefits to 2 organizations: Cook County (Chicago, IL) and Erie Family Health Center Inc (Chicago, 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 Mara Divis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mara Divis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 18 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.