DR. JACQUELINE MARIE DZIEDZIC D.O.
NPI 1972722007
Emergency Medicine in Maywood, IL

Q: What is Jacqueline Dziedzic's NPI number?

The NPI number for Jacqueline Dziedzic is 1972722007. It was assigned to this individual provider in the NPPES registry on April 25, 2007. The provider is also known as Dr. Jacqueline Marie Cappiello D.O..

Q: What is Jacqueline Dziedzic's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, BUILDING 101, ROOM 1752, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jacqueline Marie Dziedzic D.o. NPPES

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

DR. JACQUELINE MARIE DZIEDZIC D.O. (NPI 1972722007) is an individual emergency medicine provider in Maywood, Illinois, licensed in Illinois (036127802) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972722007

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. JACQUELINE MARIE DZIEDZICCredential: D.O.

Location Address2160 S 1ST AVE, BUILDING 101, ROOM 1752Maywood, IL 60153-3328

Mailing Address2160 S 1st Ave, Building 101, Room 1752Maywood, IL 60153-3328 · (708) 216-9000

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 25, 2007

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1972722007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036127802✔ Licensed in MI · 5101016781

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2160 S 1ST AVE, Maywood, IL 60153

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Other Names 1

Former Name (1)Dr. Jacqueline Marie Cappiello D.o.

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

Dr. Jacqueline Marie Dziedzic D.o. 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 ID3971652108

PECOS Enrollment IDI20110802000782

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

77 services75 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician 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.

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.

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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.

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