MARIA VERONICA AVENDANO (MD) – Internal Medicine Physician, NPI 1578052130

MARIA VERONICA AVENDANO (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036167241 (IL). The NPI Number for MARIA VERONICA AVENDANO (MD) is 1578052130

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MARIA VERONICA AVENDANO (MD)
NPI
1578052130
Phone
(917) 535-3606
Address
4646 N MARINE DR
Enumeration Date
8 May 2018
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739184700
Graduation Year
2008 (18 years ago)
PAC ID
9335558576
Group Practice PAC ID
2062804909
Professional Enrollment ID
I20231020001663
Address ID
IL606523937CH2734XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

18,056 INTERNAL MEDICINE in NY

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Provider Addresses for MARIA VERONICA AVENDANO (MD)

  • Louis A. Weiss Memorial Hospital, 4646, North Marine Drive, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    CHICAGO, IL 606405759

    Phone: (917) 535-3606

    Type: Mailing

  • 2734 W 87TH ST

    CHICAGO, IL 606523937

    Phone: (773) 918-4700

    Type: Mailing

  • NYC Health + Hospitals/Jacobi, 1400, Pelham Parkway South, The Bronx, Bronx County, New York, 10461, United States

    BRONX, NY 104611138

    Phone: (718) 918-5006

    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: 2023-10-20

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
I20231020001663IInternal MedicineILTBD

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 60640)

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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: 2062804909View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Family PracticeMI
Family PracticeIL
Family PracticeIL
Family PracticeIL
Family PracticeOH
Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for MARIA VERONICA AVENDANO (MD)?
The registry entry for MARIA VERONICA AVENDANO (MD) shows NPI 1578052130.
Should I treat MARIA VERONICA AVENDANO (MD) as an active provider?
Patients and plans typically see MARIA VERONICA AVENDANO (MD) as active in the national extract.
Which specialty label fits MARIA VERONICA AVENDANO (MD)?
NPPES ties MARIA VERONICA AVENDANO (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARIA VERONICA AVENDANO (MD)?
The directory associates MARIA VERONICA AVENDANO (MD) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for MARIA VERONICA AVENDANO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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