Individual provider Active NPI

Deborah Miriam Cairo, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1215198403
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036119426 Issued in IL
Practice address
1242 W Jackson Blvd
# 1E
Chicago, IL 60607-2989
Phone
(312) 421-0092
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036119426 IL Primary

Addresses

Primary practice location

1242 W Jackson Blvd
# 1E
Chicago, IL 60607-2989

Mailing address

1242 W Jackson Blvd
# 1E
Chicago, IL 60607-2989
Phone (312) 421-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20080801000116 IL Practitioner - Emergency Medicine 3476627993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036119426ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of Palos, LTD. Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Palos Emergency Medical Services, LTD Emergency Medicine Past Accepting new patients

Locations

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1215198403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W JACKSON BLVD",
            "address_2": "# 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072989",
            "telephone_number": "312-421-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W JACKSON BLVD",
            "address_2": "# 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072989",
            "telephone_number": "312-421-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRO",
        "first_name": "DEBORAH",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036119426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.