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HEIDI DEYRO
NPI 1982960514
Pediatrics in Maywood, IL

Active since April 09, 2012PECOS Enrolled
2160 S. FIRST AVENUE, MAYWOOD, IL 60153(708) 216-3282 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Aug 2, 2018 (2 updates tracked since 2018).

About Heidi Deyro NPPES

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

HEIDI DEYRO (NPI 1982960514) is an individual pediatrics provider in Maywood, Illinois, licensed in California (A133814) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982960514
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHEIDI DEYRO
Location Address2160 S. FIRST AVENUEMaywood, IL 60153
Mailing Address393 E Walnut St, Fl 3Pasadena, CA 91188-0001
Phone(708) 216-3282
Sole ProprietorYes
Enumeration DateApril 9, 2012
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1982960514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A133814
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2160 S. FIRST AVENUE, Maywood, IL 60153
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Deyro 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 Reassignment

Medicare enrollment records show Heidi Deyro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,712 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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 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.

Other Providers at the Same Location NPPES 5

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

KENNETH KIN KAN CHAN M.D.
Family Medicine
2160 S. FIRST AVENUE, LOYOLA OUTPATIENT CENTER, 4300
MAYWOOD, IL 60153
Cook County (708) 216-6006
DR. EUGENE SUH M.D.
Pediatrics
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PATRICIA LEE M.D.
Student in an Organized Health Care Education/Training Program
2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-4943
APARNA SHARMA M.D.
Psychiatry & Neurology (Psychiatry)
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 216-3750
LORETTA ELIZABETH LATTYAK R.N.
Registered Nurse (Pediatrics)
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 267-8890

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 Heidi Deyro's NPI number?

The NPI number for Heidi Deyro is 1982960514. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Heidi Deyro located?

Heidi Deyro practices at 2160 S. First Avenue, Maywood, IL 60153. The listed phone number is (708) 216-3282.

What is Heidi Deyro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heidi Deyro enrolled in Medicare?

Yes. Heidi Deyro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Deyro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Deyro reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The 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 Heidi Deyro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Deyro was last updated on October 15, 2024. 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.