Individual provider Active NPI

Maria Victoria Victoria Vela, MD

  • Internal Medicine Physician
  • Niles, IL
National Provider Identifier
1245201326
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036110240 Issued in IL
Practice address
8565 W. Dempster St.
Niles, IL 60714
Phone
(847) 720-3504
Fax
(847) 692-5271
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-110240 IL
Internal Medicine Physician 207R00000X 036110240 IL Primary
Internal Medicine Physician 207R00000X 60110-20 WI

Addresses

Primary practice location

8565 W. Dempster St.
Niles, IL 60714

Mailing address

2424 W. Peterson Ave
Chicago, IL 60659-4110
Phone (773) 761-0300

Other identifiers 2

IdentifierTypeStateIssuer
1245201326MedicaidWI
036110240MedicaidIL

Other names 1

  • Maria Victoria Chua Vela Former name

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
I20051115000810 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2668465352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Illinois Doctors on DemandGroup PAC ID 7416297916, 2 clinicians

Practice addresses (Care Compare)

4121 N Pulaski Rd
Apt 1C
Chicago, IL 60641-2896
Phone (847) 744-3237

Hospital & facility affiliations

  • Orion Home Health Inc Home health agency, Morton Grove, IL, CCN 147778
  • Seniors Choice Health Care, Inc Home health agency, Chicago, IL, CCN 148177
  • Gold Health Home Care Corp Home health agency, Des Plaines, IL, CCN 147749
  • Chicago Health, Inc Home health agency, Park Ridge, IL, CCN 147881
  • Center of Illinois Home Healthcare, Inc Home health agency, Arlington Heights, IL, CCN 148212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-110240ILMDInternal Medicine Physician
60110-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Doctors on Demand CurrentSince Aug 27, 2024 Accepting new patients
JHMC Diagnostic and Treatment Center Internal Medicine Past Accepting new patients

Locations

4900 N Pulaski Rd
Chicago, IL 60630
Phone (847) 530-5916

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245201326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W. PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594110",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 W. DEMPSTER ST.",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-720-3504",
            "fax_number": "847-692-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "MARIA VICTORIA",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-110240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110240",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "60110-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245201326",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110240",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CHUA VELA",
            "middle_name": "VICTORIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.