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MIGUEL ENRIQUE MANRIQUE PALAVICCINI MD
NPI 1831821099
Internal Medicine - Nephrology in Chicago, IL

Active since June 27, 2022PECOS Enrolled
3616 W WILSON AVE, CHICAGO, IL 60625(224) 409-0423 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Miguel Enrique Manrique Palaviccini Md NPPES

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

MIGUEL ENRIQUE MANRIQUE PALAVICCINI MD (NPI 1831821099) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036.174840) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831821099
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMIGUEL ENRIQUE MANRIQUE PALAVICCINICredential: MD
Location Address3616 W WILSON AVEChicago, IL 60625-8159
Mailing Address3616 W Wilson AveChicago, IL 60625-8159
Phone(224) 409-0423
Sole ProprietorNo
Enumeration DateJune 27, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1831821099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036.174840
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125081021 (IL)
3616 W WILSON AVE, Chicago, IL 60625
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel Enrique Manrique Palaviccini Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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.

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 Miguel Manrique Palaviccini's NPI number?

The NPI number for Miguel Manrique Palaviccini is 1831821099. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Miguel Manrique Palaviccini located?

Miguel Manrique Palaviccini practices at 3616 W Wilson Ave, Chicago, IL 60625. The listed phone number is (224) 409-0423.

What is Miguel Manrique Palaviccini's specialty?

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

Is Miguel Manrique Palaviccini enrolled in Medicare?

Yes. Miguel Manrique Palaviccini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miguel Manrique Palaviccini was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.