Ma Claravel Baricuatro Criste, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.121657 Issued in IL

Practice address

2102 Windsor Dr
Marion, IL 62959-1472

Phone

(618) 364-0348

NPI assigned

Aug 18, 2008

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcristie571440@direct.deaconess.com

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

• Deaconess Illinois Clinic, Inc

  dba Deaconess IL Clinic Eleven S

  • Family Medicine Physician
  • Columbia, IL
  • NPI 1962128256
  Medicare reassignment NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235
  Medicare reassignment
• Deaconess Illinois Clinic, Inc

  dba Deaconess IL Clinic 4105 N Water Tower

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1063128544
  NPD
• Deaconess Illinois Clinic, Inc

  dba Deaconess Illinois Clinic John A Logan

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1326836206
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty Doctors Park

  • Hematology & Oncology Physician
  • Mount Vernon, IL
  • NPI 1588477855
  NPD
• Community Health & Emergency Services, Inc.

  dba Pulaski Clinic

  • Federally Qualified Health Center (FQHC)
  • Pulaski, IL
  • NPI 1063404523
  NPD (past)
• Community Health & Emergency Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cairo, IL
  • NPI 1710979588
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1245486679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 WINDSOR DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 WINDSOR DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591472",
            "telephone_number": "618-364-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTE",
        "first_name": "MA CLARAVEL",
        "middle_name": "BARICUATRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "1255051150",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.121657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alberto Dejesus Cuartas, M.D.
• Kathryn Rose Cully
• Charles A Culver, PHARM.D.
• Samantha Cummins, BS
• Cyberlink Health PLLC

• Pediatrics Physician in Marion, IL
• Providers in Marion, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.