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MARIA KEZIA LOURDES LIGSAY PORMENTO MD, MBA
NPI 1881380004
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 12, 2023PECOS Enrolled
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622(312) 633-5841(312) 491-5020 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Kezia Lourdes Ligsay Pormento Md, Mba NPPES

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

MARIA KEZIA LOURDES LIGSAY PORMENTO MD, MBA (NPI 1881380004) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881380004
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIA KEZIA LOURDES LIGSAY PORMENTOCredential: MD, MBA
Location Address1431 N WESTERN AVE STE 406Chicago, IL 60622-1774
Mailing Address1431 N Western Ave Ste 406Chicago, IL 60622-1774 · (312) 633-5841 · Fax (312) 491-5020
Phone(312) 633-5841
Fax(312) 491-5020
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1881380004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1431 N WESTERN AVE STE 406, Chicago, IL 60622
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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)

Maria Kezia Lourdes Ligsay Pormento Md, Mba 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.

Other Providers at the Same Location NPPES 20

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

GLORIBELL GARCIA TORRES
Family Medicine
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
ALEJANDRO CAMPOS MUNOZ MD
Student in an Organized Health Care Education/Training Program
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
HARINI GAJJELA MD
Family Medicine
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 491-5250
DR. IVAN SMILEY
Student in an Organized Health Care Education/Training Program
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
DIEGO DUGARTE MD
Student in an Organized Health Care Education/Training Program
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
DR. CHRISTINE JOAN KNIGHT MD
Family Medicine
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
GABRIELA ZARAGOZA LCSW
Social Worker (Clinical)
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841
ALEXANDER RUIZ MD
Student in an Organized Health Care Education/Training Program
1431 N WESTERN AVE STE 406
CHICAGO, IL 60622
Cook County (312) 633-5841

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 Maria Kezia Lourdes Pormento's NPI number?

The NPI number for Maria Kezia Lourdes Pormento is 1881380004. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Maria Kezia Lourdes Pormento located?

Maria Kezia Lourdes Pormento practices at 1431 N Western Ave Ste 406, Chicago, IL 60622. The listed phone number is (312) 633-5841.

What is Maria Kezia Lourdes Pormento's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maria Kezia Lourdes Pormento enrolled in Medicare?

Yes. Maria Kezia Lourdes Pormento is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maria Kezia Lourdes Pormento was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.