KELSEY M BACIDORE MD
NPI 1932858230
Emergency Medicine in Maywood, IL
About Kelsey M Bacidore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY M BACIDORE MD (NPI 1932858230) is an individual emergency medicine provider in Maywood, Illinois, licensed in Illinois (036172511) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and maintains a secondary practice location in Dekalb.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey M Bacidore Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Bacidore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Amita Health Resurrection Medical Center
Acute Care Hospitals · Chicago, ILLoyola University Medical Center
Acute Care Hospitals · Maywood, ILNorthwestern Medicine Kishwaukee Hospital
Acute Care Hospitals · Dekalb, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Kelsey Bacidore's NPI number?
The NPI number for Kelsey Bacidore is 1932858230. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Kelsey Marie Johnson.
Where is Kelsey Bacidore located?
Kelsey Bacidore practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.
What is Kelsey Bacidore's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelsey Bacidore enrolled in Medicare?
Yes. Kelsey Bacidore 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.
Which organizations bill Medicare for Kelsey Bacidore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Bacidore reassigns Medicare benefits to 2 organizations: Loyola University Medical Center (Maywood, IL) and Northwestern Medical Faculty Foundation (Carol Stream, 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 Kelsey Bacidore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Bacidore accept?
Health plans from Oscar Health list Kelsey Bacidore 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 Kelsey Bacidore affiliated with any hospitals?
According to CMS data, Kelsey Bacidore is affiliated with Amita Health Resurrection Medical Center, Loyola University Medical Center and Northwestern Medicine Kishwaukee Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Bacidore was last updated on August 17, 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.
# Kelsey M Bacidore, MD · NPI 1932858230
Emergency Medicine physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1932858230 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036172511 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (888) 584-7888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Loyola University Medical Center (NPI 1336159961, Maywood, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932858230) · Data from the CMS NPPES public registry.