Individual provider Active NPI

Maximo Bermudez, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1497836142
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-090194 Issued in IL
Practice address
6301 N Western
Suite 200
Chicago, IL 60659-4100
Phone
(773) 761-0300
Fax
(773) 761-0009
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-090194 IL Primary

Addresses

Primary practice location

6301 N Western
Suite 200
Chicago, IL 60659-4100

Mailing address

6301 N Western, Chicago, Il 60659
Suite 200
Chicago, IL 60659-4100
Phone (773) 761-0300

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
I20040512001150 IL Practitioner - Family Practice 0840280962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Human Services Family Health Center, Inc.Group PAC ID 4385637537, 16 clinicians

Practice addresses (Care Compare)

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

Hospital & facility affiliations

  • Choice Home Health Services, Inc Home health agency, Chicago, IL, CCN 147972
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090194ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Human Services Family Health Center CurrentSince Jan 20, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc. CurrentSince Jan 20, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients

Locations

6301 N Western Ave
Chicago, IL 60659
Phone (773) 761-0300

6301 N Western Ave
Ste 200
Chicago, IL 60659

2424 W Peterson Ave
Ste 200
Chicago, IL 60659
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077
Phone (773) 761-0300

Interoperability endpoints

  • Direct secure messaging: maximo.bermudez.1@18313.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1497836142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN, CHICAGO, IL 60659",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594100",
            "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": "6301 N WESTERN",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594100",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "MAXIMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-090194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.