DR. JAVIER E. FAJARDO M.D.
NPI 1902943780
Obstetrics & Gynecology in Peoria, IL

Q: What is Javier Fajardo's NPI number?

The NPI number for Javier Fajardo is 1902943780. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Javier Fajardo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Javier Fajardo was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 31, 2007PECOS Enrolled

2419 W CORNERSTONE CT, PEORIA, IL 61614(309) 692-2025 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2023, Feb 21, 2022, Nov 11, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Javier E. Fajardo M.d. NPPES

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

DR. JAVIER E. FAJARDO M.D. (NPI 1902943780) is an individual obstetrics & gynecology provider in Peoria, Illinois, licensed in Illinois (036-117247) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902943780

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JAVIER E. FAJARDOCredential: M.D.

Location Address2419 W CORNERSTONE CTPeoria, IL 61614-2529

Mailing Address2023 Vadalabene Dr, Ste 200Maryville, IL 62062-5636 · (618) 288-7408 · Fax (618) 288-7418

Phone(309) 692-2025

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateNovember 24, 20235 updates tracked since enumeration

NPPES CertifiedNovember 24, 2023

✔ NPI 1902943780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036-117247✔ Licensed in IL · 036117247

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2419 W CORNERSTONE CT, Peoria, IL 61614

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Javier E. Fajardo M.d. 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 61614 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 16

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

MR. JOSHUA A CROLAND M.D.

Obstetrics & Gynecology