DR. MARTHA MENCHACA (M.D.) – Diagnostic Radiology Physician, NPI 1629059662
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. MARTHA MENCHACA (M.D.)
4130, West 26th Street, Crawford, South Lawndale, Chicago, West Chicago Township, Cook County, Illinois, 60623, United States
CHICAGO, IL 606234312
Phone: (312) 580-5755
Type: Mailing
611 W PARK
FAPC
CHAMPAIGN, IL 61802
Phone: (217) 902-6954
Fax: (217) 902-7711
Type: Location
4130 W 26th St
Chicago, IL 606234312
Phone: (312) 580-5755
Type: Location
155 E Brush Hill Rd
Elmhurst, IL 601265658
Phone: (331) 221-5420
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: 2013-02-27
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 |
|---|---|---|---|---|
| I20130227000292 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 496 | 311 | $0 |
| 71046 | X-ray of chest, 2 views | 193 | 179 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 116 | 107 | $0 |
| 71250 | Ct scan of chest without contrast | 103 | 96 | $0 |
| 76776 | Ultrasound scan of transplanted kidney | 96 | 66 | $0 |
Insurance plans in this area (ZIP 60623)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | WI | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| Diagnostic Radiology | NY | |
| - | IL |
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