MARIA JOH – Vascular & Interventional Radiology Physician, NPI 1508230491

MARIA JOH is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 036.172322 (IL). The NPI Number for MARIA JOH is 1508230491

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARIA JOH
NPI
1508230491
Phone
(617) 285-5038
Address
702 S LYTLE ST
Enumeration Date
16 November 2015
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8475506740
Graduation Year
2019 (7 years ago)
PAC ID
0547593865
Group Practice PAC ID
7214369966
Professional Enrollment ID
I20250812001313
Address ID
IL600107238DE20530RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for MARIA JOH

  • 702 S LYTLE ST

    UNIT 1N

    CHICAGO, IL 606074192

    Phone: (617) 285-5038

    Type: Mailing

  • 240 E HURON ST

    SUITE 1-200

    CHICAGO, IL 606112909

    Phone: (312) 503-7975

    Type: Location

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (312) 413-3737

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Boston Scientific Corporation ($339).

Total Amount

$709

General + Research + Ownership

Payments

15

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2025-08-12

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
I20250812001313IDiagnostic RadiologyILTBD

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 60607)

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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: 7214369966View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Interventional Radiology, Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyPA
Internal Medicine, Diagnostic Radiology, Diagnostic RadiologyVA
Diagnostic RadiologyVT
Diagnostic RadiologyNY
Diagnostic RadiologyMO
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

What federal number belongs to MARIA JOH?
The federal identifier for MARIA JOH is NPI 1508230491.
Is MARIA JOH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARIA JOH work in?
You can think of MARIA JOH as practicing within Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Does MARIA JOH practice in Illinois?
You will see Chicago, Illinois on file for MARIA JOH alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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