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

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: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2026, Nov 24, 2023, Feb 21, 2022 and 3 more (6 updates tracked since 2020).

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 and maintains 2 additional practice locations.

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 UpdateAugust 31, 20266 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ 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 ↗

Secondary Practice Locations 2

Location 18201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-7830
Location 21045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Javier Fajardo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians
108 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Obhg Illinois Sc
120 mi
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
NPI 1700107216 (800) 967-2289
Saint Anthony Health Affiliates
123 mi
Multi-Specialty
4192 S ARCHER AVE
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 210 clinicians in this Medicare group
NPI 1295757771 (773) 254-2222
Christina L Midkiff MD Sc
142 mi
Specialist
2023 VADALABENE DR, SUITE 200
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1518031558 (618) 288-7408

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

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 12

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
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (309) 692-2025
LYNNETTE A DAVIS APN
Nurse Practitioner (Women's Health)
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (309) 692-2025
MRS. MEGAN E NESTRUD W.H.N.P
Nurse Practitioner (Women's Health)
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (217) 528-7541
PINNACLE ANESTHESIA CONSULTANTS LLC
Anesthesiology
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (309) 265-3415
REBECCA LIANE TAYLOR CNM
Advanced Practice Midwife
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (309) 692-2025
NICOLE ELIZABETH HUNT CNM
Advanced Practice Midwife
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (217) 528-7541
JODI E MORSE CNM
Advanced Practice Midwife
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (217) 528-7541
KRISTIN M KING CNM
Advanced Practice Midwife
2419 W CORNERSTONE CT
PEORIA, IL 61614
Peoria County (217) 528-7541

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 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.

Where is Javier Fajardo located?

Javier Fajardo practices at 2419 W Cornerstone Ct, Peoria, IL 61614. The listed phone number is (309) 692-2025.

What is Javier Fajardo's specialty?

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

Is Javier Fajardo enrolled in Medicare?

Yes. Javier Fajardo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Javier Fajardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Fajardo reassigns Medicare benefits to 4 organizations: Rockford Health Physicians (Rockford, IL), Obhg Illinois Sc (Berwyn, IL), Saint Anthony Health Affiliates (Chicago, IL) and Christina L Midkiff MD Sc (Maryville, 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 Javier Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Javier Fajardo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Javier Fajardo 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.

When was this NPI record last updated?

The NPPES record for Javier Fajardo was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.