Active NPI
Maria Alexandra Artunduaga, M.D.
- Plastic Surgery Physician
- Chicago, IL
National Provider Identifier
1124314950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 125060147
- Practice address
- 5841 S Maryland Ave
MC 6035
Chicago, IL 60637-1447 - Phone
- (773) 795-1240
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 125060147 | IL | Primary |
| Surgery Physician | 208600000X | 125060147 | IL |
Addresses
Primary practice location
5841 S Maryland Ave
MC 6035
Chicago, IL 60637-1447
Mailing address
5841 S Maryland Ave
MC 6035
Chicago, IL 60637-1447
Other names 1
- Maria Alexandra Artunduaga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125060147 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1124314950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC 6035",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC 6035",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-795-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTUNDUAGA",
"first_name": "MARIA",
"middle_name": "ALEXANDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "125060147",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125060147",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA ALEXANDRA",
"last_name": "ARTUNDUAGA",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.