Myra Francisco Vicenio, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-117081 Issued in IL

Practice address

1333 Butterfield Rd
Ste 130
Downers Grove, IL 60515-5607

Phone

(630) 371-0133

Fax

(630) 371-0138

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Consultants of Illinois, P.C.Group PAC ID 9537064316, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Inpatient Consultants of Illinois, P.C.

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1548442569

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Illinois, P.C.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1003850843
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1780729830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BUTTERFIELD RD",
            "address_2": "STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155607",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BUTTERFIELD RD",
            "address_2": "STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155607",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENIO",
        "first_name": "MYRA",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-117081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doreen Ventura, M.D.
• Nicole Venute, OTR/L
• Jennifer Vergara, LCSW
• Lori Dee Vernor, DC
• Kathleen Marie Vest, PHARMD
• Jessica E Vickery, MS OTR/L
• Victoria Victorenko, LCSW
• Margaret Ann Viggiano, PT
• Kristin Marie Vignaroli
• Village of Downers Grove

• Internal Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.

Verify at the official NPI Registry.