DR. MARK PELKA (M.D.) – Interventional Cardiology Physician, NPI 1114389418

DR. MARK PELKA (M.D.) is a healthcare provider. based in Maywood, Illinois. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 036.149149 (IL). The NPI Number for DR. MARK PELKA (M.D.) is 1114389418

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK PELKA (M.D.)
NPI
1114389418
Phone
(708) 216-5368
Address
2160 S 1st Ave
Enumeration Date
25 March 2016
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306000700
Graduation Year
2016 (10 years ago)
PAC ID
8022302793
Group Practice PAC ID
9739697574
Professional Enrollment ID
I20240731003320
Address ID
IL605862608PL1651959XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

464 INTERVENTIONAL CARDIOLOGY in IL

Provider Addresses for DR. MARK PELKA (M.D.)

  • 2160 S 1st Ave

    Loyola University Outpatient Center

    Maywood, IL 601533328

    Phone: (708) 216-5368

    Fax: (708) 216-3375

    Type: Location

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    LOYOLA UNIVERSITY OUTPATIENT CENTER

    MAYWOOD, IL 601533328

    Phone: (708) 216-5368

    Fax: (708) 216-3375

    Type: Location

  • 10 MARTIN AVE STE 200

    NAPERVILLE, IL 605406535

    Phone: (630) 600-0700

    Fax: (630) 600-0701

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $7,339.

Total Amount is formed as General ($7,339) + Research ($0) + Ownership ($0) = $7,339.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($5,626).

Total Amount

$7,339

General + Research + Ownership

Payments

78

Total payment records

General Amount

$7,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-07-31

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
I20240731003320IInterventional CardiologyILTBD

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 60153)

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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: 9739697574View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Nurse PractitionerIL
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for DR. MARK PELKA (M.D.)?
Save NPI 1114389418 if you need a stable reference for DR. MARK PELKA (M.D.).
Is DR. MARK PELKA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MARK PELKA (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MARK PELKA (M.D.) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARK PELKA (M.D.)?
The page summarizes Maywood, Illinois for DR. MARK PELKA (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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