GLADYS ESTRADA (M.D.) – Family Medicine Physician, NPI 1124254800

GLADYS ESTRADA (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 125056228 (IL). The NPI Number for GLADYS ESTRADA (M.D.) is 1124254800

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
GLADYS ESTRADA (M.D.)
NPI
1124254800
Phone
Not provided
Address
5359 W FULLERTON AVE
Enumeration Date
8 June 2009
Last Update Date
5 April 2011

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2078742141
Graduation Year
2009 (17 years ago)
PAC ID
2860639176
Group Practice PAC ID
5395998017
Professional Enrollment ID
I20170413002352
Address ID
ME041022957PO180XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for GLADYS ESTRADA (M.D.)

  • 5353-5359, West Fullerton Avenue, Cragin, Beat 2515, Chicago, Jefferson Township, Cook County, Illinois, 690639, United States

    CHICAGO, IL 606391450

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-04-13

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
I20170413002352IFamily PracticeMETBD

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 60639)

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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: 5395998017View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineME
Nurse PractitionerME
O P T O M E T R YME
Family PracticeME
Family PracticeCA
Nurse PractitionerME
Physician AssistantME
Internal MedicineME
Physician AssistantME

Reviews

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Frequently asked questions

Can I verify GLADYS ESTRADA (M.D.) with an NPI only?
You can start verification with NPI 1124254800 for GLADYS ESTRADA (M.D.), then check state licensing separately.
Does the file indicate GLADYS ESTRADA (M.D.) is practicing under active NPI?
Directory data currently reports GLADYS ESTRADA (M.D.) as active.
What is GLADYS ESTRADA (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for GLADYS ESTRADA (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is GLADYS ESTRADA (M.D.) based?
GLADYS ESTRADA (M.D.) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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