Marian Giselle Acevedo Alvarez, MD
Individual provider Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Maywood, IL
NPI 1710271341 · NPPES record last updated Oct 25, 2020
Key facts
- NPI
- 1710271341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- 036146956 (IL)
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Loyola University Medical Center
Loyola Medical Group LLC
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
3231 Euclid Ave
Suite 403
Berwyn, IL 60402-3472
Phone (708) 783-0700
Hospital & facility affiliations
- Loyola University Medical Center
- Loyola Gottlieb Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919001916 | IL | Practitioner - Obstetrics/Gynecology | 1456649045 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053985 | CT | MD | Obstetrics & Gynecology Physician |
| 036146956 | IL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current |
Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Multi-Specialty | Current |
Accepting new patients |
| Loyola Medical Group LLC | Multi-Specialty | Current |
Accepting new patients |
Locations
3231 Euclid Ave
Ste 403
Berwyn, IL 60402
Phone (708) 783-0700
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 053985 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
207VF0040X | 036146956 | IL | Yes |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | macevedoalvarez96192@direct.luhs.org |
Other providers in Maywood, IL
- Brianna Abraham
- Gifty Susan Abraham
- Jenny A Abrams
- Schuharazad Abro
- Access Community Health Network
- Edyta Adamiec
- Elaine Adams
- Karen Adams
- Nolan Jesse Adams
- Ayobami Adeagbo
All providers in Maywood, IL · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.