Active NPI
Katherine Louise Maietta, M.D.
- Internal Medicine Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.128371
- Practice address
- 1010 Lake St Ste 301
Oak Park, IL 60301-1133 - Phone
- (708) 524-8600
- Fax
- (708) 524-8147
- NPI assigned
- Aug 4, 2008
- Last updated
- Sep 15, 2026
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.128371 | IL | Primary |
| Pediatrics Physician | 208000000X | 036.128371 | IL |
Addresses
Primary practice location
1010 Lake St Ste 301
Oak Park, IL 60301-1133
Mailing address
1010 Lake St Ste 301
Oak Park, IL 60301-1133
Phone (708) 524-8600
Other practice location 1
1645 W Jackson Blvd Ste 215
Chicago, IL 60612-3227
Phone (312) 942-3034
Other practice location 2
738 N Lombard Ave
Oak Park, IL 60302-1722
Phone (708) 524-8147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frontdesk@lakestreetfamily.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Pennsylvania State University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 Lake St
Suite 301
Oak Park, IL 60301-1133
Phone (708) 524-8600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.58 of 100
- Quality
- 68.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.128371 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Lake Street Family Physicians SC Inc | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
1010 Lake St
Ste 301
Oak Park, IL 60301
Phone (708) 524-8600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFAFDD
- https://fhir4.healow.com/fhir/r4/HFAFDD/Endpoint/HFAFDD
- kmaietta48064@direct.luhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Oak Park, IL
- NPI 1841363850
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Loyola University Medical Center Cancer Center
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
dba West Suburban Medical Center
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1275799710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 301",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011133",
"telephone_number": "708-524-8600",
"fax_number": "708-524-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 301",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011133",
"telephone_number": "708-524-8600",
"fax_number": "708-524-8147"
}
],
"practiceLocations": [
{
"address_1": "1645 W Jackson Blvd Ste 215",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123227",
"country_code": "US",
"telephone_number": "312-942-3034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "738 N Lombard Ave",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603021722",
"country_code": "US",
"telephone_number": "708-524-8147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAIETTA",
"first_name": "KATHERINE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.128371",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.128371",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frontdesk@lakestreetfamily.com",
"affiliation": "N",
"endpointDescription": "front desk",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1010 Lake St Ste 301",
"city": "Oak Park",
"state": "IL",
"country_code": "US",
"postal_code": "603011133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.