PROF. JUANITA VALVERDE M.D.
NPI 1922258276
Family Medicine in Chicago, IL

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
4849 W FULLERTON AVE, CHICAGO, IL 60639(773) 309-6740(773) 237-6606 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Juanita Valverde M.d. NPPES

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

PROF. JUANITA VALVERDE M.D. (NPI 1922258276) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-074259) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1922258276
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePROF. JUANITA VALVERDECredential: M.D.
Location Address4849 W FULLERTON AVEChicago, IL 60639-2503
Mailing Address2525 N Francisco AveChicago, IL 60647-2611 · (773) 309-6740 · Fax (773) 237-6606
Fax(773) 237-6606
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 23, 2008
Last NPPES UpdateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
NPI 1922258276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-074259
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.
4849 W FULLERTON AVE, Chicago, IL 60639

Other Identifiers 1

Medicaid036074259IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prof. Juanita Valverde M.d. 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 ID9234290560
PECOS Enrollment IDI20081205000093
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services52 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
119 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services48 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services13 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
49 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers52 claims143 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers25 claims30 services$0.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639
Anesthesiology (Pain Medicine)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Clinic/Center (Ambulatory Surgical)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Radiology (Diagnostic Radiology)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Physical Therapist
4849 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639

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 Juanita Valverde's NPI number?

The NPI number for Juanita Valverde is 1922258276. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Juanita Valverde located?

Juanita Valverde practices at 4849 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 309-6740.

What is Juanita Valverde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juanita Valverde enrolled in Medicare?

Yes. Juanita Valverde 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.

What insurance does Juanita Valverde accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Juanita Valverde 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 Juanita Valverde affiliated with any hospitals?

According to CMS data, Juanita Valverde is affiliated with Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Juanita Valverde was last updated on February 8, 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.