MIREYA LEDESMA (PA-C) – Physician Assistant, NPI 1063530368

MIREYA LEDESMA (PA-C) is a healthcare provider. based in Buffalo grove, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for MIREYA LEDESMA (PA-C) is 1063530368

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MIREYA LEDESMA (PA-C)
NPI
1063530368
Phone
(847) 808-8884
Address
600 W LAKE COOK RD STE 120
Enumeration Date
26 March 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084580757
Graduation Year
2004 (22 years ago)
PAC ID
2466632096
Group Practice PAC ID
9537076112
Professional Enrollment ID
I20110214000606
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for MIREYA LEDESMA (PA-C)

  • 600 W LAKE COOK RD STE 120

    BUFFALO GROVE, IL 600892085

    Phone: (847) 808-8884

    Type: Location

  • 45 AMBER CT UNIT Z2

    SCHAUMBURG, IL 601935765

    Phone: (847) 798-8376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2023-07-24 • Largest payer in this snapshot: ABBVIE INC. ($82).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110214000606IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60089)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537076112View full group profile
NameSpecialtyState
-IL
Internal MedicineIL
Physician AssistantIL
-IL
Nurse PractitionerIL
-IL
Infectious Disease, Internal MedicineIL
-IL
Physician AssistantIL
Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for MIREYA LEDESMA (PA-C)?
Save NPI 1063530368 if you need a stable reference for MIREYA LEDESMA (PA-C).
Does this profile mean MIREYA LEDESMA (PA-C) is currently active?
Yes — MIREYA LEDESMA (PA-C) appears active in the national provider directory.
Does MIREYA LEDESMA (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MIREYA LEDESMA (PA-C). Clinical services aligned with this taxonomy classification.
Does MIREYA LEDESMA (PA-C) practice in Illinois?
You will see Buffalo Grove, Illinois on file for MIREYA LEDESMA (PA-C) alongside any extra practice locations.
Is MIREYA LEDESMA (PA-C) a real provider?
This page reflects official NPPES data for NPI 1063530368. Always confirm identity and privileges with the practice and licensing boards.

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