DR. CATALINO MEDINA JR. BAUTISTA (M.D.) – Family Medicine Physician, NPI 1699706101
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. CATALINO MEDINA JR. BAUTISTA (M.D.)
5455, West North Avenue, Beat 2532, Chicago, Cook County, Illinois, 60302, United States
CHICAGO, IL 606394346
Phone: (773) 889-0166
Type: Location
34 E Jones St
Milford, IL 609531046
Phone: (815) 889-4241
Type: Location
720 S Crescent St
Gilman, IL 609381518
Phone: (815) 265-8889
Type: Location
135 W Station St
Saint Anne, IL 609647251
Phone: (815) 427-1324
Type: Location
5455 W North Ave
Chicago, IL 606394346
Phone: (773) 889-0166
Type: Location
416, Justina Street, Hinsdale, Lyons Township, Cook County, Illinois, 60521, United States
HINSDALE, IL 605212419
Phone: (630) 655-0596
Type: Mailing
200 E FAIRMAN AVE
WATSEKA, IL 609701644
Phone: (815) 432-5411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2023-01-26 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($86).
Total Amount
$86
General + Research + Ownership
Payments
1
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $86 |
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: 2006-08-18
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 |
|---|---|---|---|---|
| I20060818000331 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60639)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Internal Medicine | IN | |
| - | IL | |
| Orthopedic Surgery | LA | |
| - | IL | |
| Family Practice | IL | |
| - | IA | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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