Individual provider Active NPI

Charmaine M Cardozo, M.D.

  • Pediatric Adolescent Medicine Physician
  • Orland Park, IL
National Provider Identifier
1669506390
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
036-115658 Issued in IL
Practice address
16505 106TH CT
Orland Park, IL 60467-4522
Phone
(708) 364-1550
Fax
(708) 364-1468
NPI assigned
Mar 15, 2007
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 036-115658 IL Primary

Addresses

Primary practice location

16505 106TH CT
Orland Park, IL 60467-4522

Mailing address

16505 106TH CT
Orland Park, IL 60467-4522
Phone (708) 364-1550

Other identifiers 1

IdentifierTypeStateIssuer
036-115658OtherILPROFESSIONAL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ccardozo278497@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2

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
I20160819002172 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335434075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115658ILMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Wellness Center LLC Adolescent Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ccardozo278497@direct.myadvocateaurora.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1669506390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674522",
            "telephone_number": "708-364-1550",
            "fax_number": "708-364-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674522",
            "telephone_number": "708-364-1550",
            "fax_number": "708-364-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZO",
        "first_name": "CHARMAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036-115658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL",
            "identifier": "036-115658",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccardozo278497@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16505 106th Ct",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604674522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "16505 106th Ct",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604674522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.