EVELENA ONTIVEROS (MD PHD) – Hematology & Oncology Physician, NPI 1689886962

EVELENA ONTIVEROS (MD PHD) is a healthcare provider. based in Decatur, Illinois. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD PHD. They hold a License No. 036143984 (IL). The NPI Number for EVELENA ONTIVEROS (MD PHD) is 1689886962

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
EVELENA ONTIVEROS (MD PHD)
NPI
1689886962
Phone
(217) 329-3232
Address
210 W MCKINLEY AVE STE 1
Enumeration Date
7 May 2007
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
2178779442
Graduation Year
2004 (22 years ago)
PAC ID
0345490058
Group Practice PAC ID
5991619116
Professional Enrollment ID
I20170807001909
Address ID
IL625265858DE210XXAVEX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

727 HEMATOLOGY/ONCOLOGY in IL

Provider Addresses for EVELENA ONTIVEROS (MD PHD)

  • 210 W MCKINLEY AVE STE 1

    DECATUR, IL 625265858

    Phone: (217) 329-3232

    Fax: (217) 329-1670

    Type: Mailing

  • 210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States

    SUITE 1

    DECATUR, IL 625265858

    Phone: (217) 329-3232

    Fax: (217) 329-1670

    Type: Mailing

  • 101 E 9th St Ste 1

    Pana, IL 625571716

    Phone: (217) 876-6600

    Fax: (217) 876-6606

    Type: Location

  • 1990 E Lake Shore Dr

    Decatur, IL 625213811

    Phone: (217) 876-6600

    Fax: (217) 876-6606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,025.

Total Amount is formed as General ($1,025) + Research ($0) + Ownership ($0) = $1,025.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Gilead Sciences, Inc. ($204).

Total Amount

$1,025

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2017-08-07

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
I20170807001909IHematology/OncologyILTBD

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
J1439Injection, ferric carboxymaltose, 1 mg48,00030$0
J1756Injection, iron sucrose, 1 mg14,57513$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml11,35067$0
99214Established patient office or other outpatient visit, 30-39 minutes1,059350$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,01223$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

Loading plans...

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: 5991619116View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
Hematology/Oncology, Internal MedicineIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm EVELENA ONTIVEROS (MD PHD)'s NPI?
Yes. EVELENA ONTIVEROS (MD PHD) is listed with NPI 1689886962 in the public NPI dataset.
Can I rely on EVELENA ONTIVEROS (MD PHD) being an active provider?
As of the registry snapshot, EVELENA ONTIVEROS (MD PHD) is marked active.
What healthcare role does EVELENA ONTIVEROS (MD PHD) hold?
Scheduling teams often label EVELENA ONTIVEROS (MD PHD) under Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is EVELENA ONTIVEROS (MD PHD) based?
EVELENA ONTIVEROS (MD PHD) is tied to Decatur, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about EVELENA ONTIVEROS (MD PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

MR. HANNA M SABA (MD)

Hematology & Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1720070386

DR. BENJAMIN T ESPARAZ (M.D.)

Hematology & Oncology Physician
West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1275502940

MR. PERRY P GUAGLIANONE (M.D.)

Hematology & Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1932168309

SEBASTIEN SIMON KAIROUZ (M.D.)

Hematology & Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1396701009

DOLORES A ESTRADA-GARCIA (MD)

Hematology & Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1316950033

BASSAM N MAALOUF (M.D.)

Hematology & Oncology Physician
321 REGENCY PARK STE 100
NPI: 1720173438

MARK ANDREW WALSHAUSER (M.D.)

Hematology & Oncology Physician
1, Wolf Creek Drive, Swansea, Saint Clair County, Illinois, 62226, United States
NPI: 1306020664

VIJAY KUMAR DAMARLA (MD)

Hematology & Oncology Physician
210 W MCKINLEY AVE STE 1
NPI: 1669762795

DR. PRAMOD GAUDEL (M.D)

Student in an Organized Health Care Education/Training Program
80 GUION PL APT 9T
NPI: 1235506825