Charmaine Pelayo

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.019560 Issued in IL

Practice address

10604 Southwest Hwy
Chicago Ridge, IL 60415-2704

Phone

(708) 422-0636

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpelayo276286@direct.myadvocateaurora.org

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.

• Midwest Pulmonary Critical Care & Sleep Consultants LLC

  • Pulmonary Disease Physician
  • Palos Heights, IL
  • NPI 1467951095
  Medicare reassignment NPD
• Pulmonary Consultants, SC

  • Pulmonary Disease Physician
  • Chicago Ridge, IL
  • NPI 1699834754
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1366084725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152704",
            "telephone_number": "708-422-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152704",
            "telephone_number": "708-422-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYO",
        "first_name": "CHARMAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orion Diagnostic & Chiropractic Center
• Orion Oasis Inc
• Lilly H Park, NP
• Ronak Patel, MD
• Pediatric Health Partners, S.C.
• Phuong Nhu Thi Pham, PA-C
• Steven M Pierpaoli, MD
• Anna Katz Pinera, MS,CNS,LDN
• Rose Pittelli
• Ashley Pittman, M.A.

• Nurse Practitioner in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.