Individual provider Active NPI

Maria Staisz, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1801875414
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036063286 Issued in IL
Practice address
6416 W Belmont Ave
Chicago, IL 60634-3921
Phone
(773) 725-5400
Fax
(773) 725-4707
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036063286 IL Primary

Addresses

Primary practice location

6416 W Belmont Ave
Chicago, IL 60634-3921

Mailing address

6416 W Belmont Ave
Chicago, IL 60634-3921
Phone (773) 725-5400

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
I20230617000373 IL Practitioner - Pediatric Medicine 0547559403

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infant Welfare Society of Chicago Past Accepting new patients
Infant Welfare Society of Chicago Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1801875414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343921",
            "telephone_number": "773-725-5400",
            "fax_number": "773-725-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343921",
            "telephone_number": "773-725-5400",
            "fax_number": "773-725-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAISZ",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036063286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.