Active NPI
Valerie Visitacion Mayuga, M.D.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-143008
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-2000
- NPI assigned
- Jul 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-143008 | IL | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
P.O. Box 3603
Chicago, IL 60523
Phone (773) 772-7858
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vgupta255487@direct.myadvocateaurora.org | ||
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 N Western Ave
Suite 209
Chicago, IL 60622-7712
Phone (630) 424-1122
2720 W Division St
Chicago, IL 60622-2853
Phone (773) 772-7858
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Octave Healhcare Corp | Family Medicine | Current | Accepting new patients |
| Vivek Gupta, M.D., S.C. | Current | Accepting new patients |
Locations
2720 W Division St
Chicago, IL 60622
Phone (773) 523-8600
1431 N Western Ave
Ste 209
Chicago, IL 60622
Phone (312) 491-5435
2331 W Chicago Ave
Chicago, IL 60622
Phone (773) 772-7858
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1S376 Summit Ave
Ste 4C
Oakbrook Terrace, IL 60181
Phone (630) 424-1122
Interoperability endpoints
- vmayuga@direct-address.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1104710151
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1033300694
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1740697853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3603",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60523",
"telephone_number": "773-772-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYUGA",
"first_name": "VALERIE",
"middle_name": "VISITACION",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-143008",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vgupta255487@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2233 W Division St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606228151",
"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": "2233 W Division St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606228151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.