Individual provider Active NPI

Valerie Visitacion Mayuga, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1740697853
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-143008 Issued in IL
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

Updated by the provider on Dec 17, 2021

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 036-143008 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000287 IL Practitioner - Family Practice 2163712274 Reassigns benefits to 2 organizations

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
Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians

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 100Reported as individual
Quality
90
Improvement activities
40
Cost
73.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Octave Healhcare Corp Family Medicine CurrentSince May 5, 2025 Accepting new patients
Vivek Gupta, M.D., S.C. CurrentSince Jun 6, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.