DR. MARTHA MENCHACA (M.D.) – Diagnostic Radiology Physician, NPI 1629059662

DR. MARTHA MENCHACA (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036.111975 (IL). The NPI Number for DR. MARTHA MENCHACA (M.D.) is 1629059662

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTHA MENCHACA (M.D.)
NPI
1629059662
Phone
(312) 580-5755
Address
4130 W 26TH ST
Enumeration Date
8 November 2005
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6103862537
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20130227000292
Address ID
IL618325657DA516XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130227000292IDiagnostic 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view496311$0
71046X-ray of chest, 2 views193179$0
74177Ct scan of abdomen and pelvis with contrast116107$0
71250Ct scan of chest without contrast10396$0
76776Ultrasound scan of transplanted kidney9666$0
View full utilization report →

Insurance plans in this area (ZIP 60623)

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Provider's Procedures

DR. MARTHA MENCHACA (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest130123
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views6049
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast122116

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Can I verify DR. MARTHA MENCHACA (M.D.) with an NPI only?
You can start verification with NPI 1629059662 for DR. MARTHA MENCHACA (M.D.), then check state licensing separately.
Is DR. MARTHA MENCHACA (M.D.) still practicing?
DR. MARTHA MENCHACA (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. MARTHA MENCHACA (M.D.) hold?
Scheduling teams often label DR. MARTHA MENCHACA (M.D.) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MARTHA MENCHACA (M.D.) serve?
DR. MARTHA MENCHACA (M.D.)'s listing highlights Chicago, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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