MARY BETH MADONNA (MD) – Pediatric Surgery Physician, NPI 1265427108

MARY BETH MADONNA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in Pediatric Surgery Physician. They hold the professional credentials MD. They hold a License No. 036-083049 (IL). The NPI Number for MARY BETH MADONNA (MD) is 1265427108

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH MADONNA (MD)
NPI
1265427108
Phone
Not provided
Address
35422 EAGLE WAY
Enumeration Date
16 September 2005
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129425500
Graduation Year
1988 (38 years ago)
PAC ID
3173712437
Group Practice PAC ID
0446208961
Professional Enrollment ID
I20110118001096

Contacts

Secure Messaging
mary.beth.madonna.1@380.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

Provider Addresses for MARY BETH MADONNA (MD)

  • 35422 EAGLE WAY

    CHICAGO, IL 606781354

    Phone:

    Type: Mailing

  • 2300 N CHILDRENS PLZ

    CHICAGO, IL 606143363

    Phone: (630) 789-2550

    Type: Location

  • 333 N SANTA ROSA

    SAN ANTONIO, TX 782073108

    Phone: (210) 704-4100

    Type: Location

  • 2300 N Childrens Plz

    Chicago, IL 606143363

    Phone: (630) 789-2550

    Type: Location

  • 1555 Barrington Rd Lowr Level

    Hoffman Estates, IL 601691019

    Phone: (847) 490-4222

    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: 2011-01-18

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
I20110118001096IGeneral SurgeryILTBD

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 60678)

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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: 0446208961View full group profile

Reviews

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Frequently asked questions

Can I cross-check MARY BETH MADONNA (MD) using NPI 1265427108?
NPI 1265427108 belongs to MARY BETH MADONNA (MD); compare other details if you need extra assurance.
Is there an active status for MARY BETH MADONNA (MD)?
For scheduling context, MARY BETH MADONNA (MD) is shown as active in the registry.
What area of care is associated with MARY BETH MADONNA (MD)?
MARY BETH MADONNA (MD)'s record emphasizes Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY BETH MADONNA (MD)?
Directory geography for MARY BETH MADONNA (MD) centers on Chicago, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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