Rita Waleska Maldonado, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11793 Issued in PR

Practice address

1011 Ford Ave
Effingham, IL 62401-1701

Phone

(217) 347-7600

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concilio de Salud Integral de Loiza, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loiza, PR
  • NPI 1558664102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1154407039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15133 N DENDRON ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624017458",
            "telephone_number": "217-821-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 FORD AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011701",
            "telephone_number": "217-347-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "RITA",
        "middle_name": "WALESKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lustig
• M&T Group LLC (Central Illinois Care Services)
• Rose Maccallum
• Erica A Magelitz
• Negar Mahmoudzadeh
• Kevin D Malone, MD
• Jane Grace Mercado Manalo, M.D.
• Jennifer C Maneja, MD
• Jan Coderko Marcott, RN IBCLC RL
• Marie Investments, LLC (Visiting Angels 1)

• Internal Medicine Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.