JOHANNA CAROLINA MONTOYA CASTILLO (PA-C) – Medical Physician Assistant, NPI 1205348976
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JOHANNA CAROLINA MONTOYA CASTILLO (PA-C)
1111 Superior St Ste 506
Melrose Park, IL 601604156
Phone: (708) 939-7600
Fax: (708) 738-7699
Type: Location
Alivio Medical Center, 966, West 21st Street, Pilsen, Lower West Side, Chicago, Cook County, Illinois, 60608, United States
CHICAGO, IL 606084511
Phone: (773) 254-1400
Type: Mailing
2355, South Western Avenue, Lower West Side, Chicago, Cook County, Illinois, 60643, United States
CHICAGO, IL 606083837
Phone: (773) 254-1400
Type: Location
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: 2018-01-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180105001416 | I | Physician Assistant | IL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 42 | 19 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 34 | 28 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 20 | 15 | $0 |
Insurance plans in this area (ZIP 60160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | IL | |
| Physician Assistant | MI | |
| Nurse Practitioner | WA | |
| - | IL | |
| Physician Assistant | MA | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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