PAULINE CAMACHO (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1730168816

PAULINE CAMACHO (MD) is a healthcare provider. based in Maywood, Illinois. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 36097415 (IL). The NPI Number for PAULINE CAMACHO (MD) is 1730168816

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
PAULINE CAMACHO (MD)
NPI
1730168816
Phone
(708) 216-5221
Address
2160 S 1ST AVE
Enumeration Date
17 January 2006
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308330630
Graduation Year
1994 (32 years ago)
PAC ID
5890724413
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050804000364
Address ID
IL601262318EL300XXRDXX400
Telehealth
Yes

Contacts

Secure Messaging
pcamacho13758@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

455 ENDOCRINOLOGY in IL

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Provider Addresses for PAULINE CAMACHO (MD)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    (MCGAW ENT., RM. 47)

    MAYWOOD, IL 60153

    Phone: (708) 216-5221

    Fax: (708) 216-5285

    Mailing address matches the actual address.

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: 2005-08-04

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
I20050804000364IEndocrinologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes588527$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7225$0
99443Telephone medical discussion with physician, 21-30 minutes6862$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
99215Established patient office or other outpatient visit, 40-54 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

What federal number belongs to PAULINE CAMACHO (MD)?
The federal identifier for PAULINE CAMACHO (MD) is NPI 1730168816.
Is PAULINE CAMACHO (MD)'s NPI currently valid?
The extract we use shows PAULINE CAMACHO (MD) as active.
Does PAULINE CAMACHO (MD) list a primary specialty?
If you are matching referrals, note Endocrinology, Diabetes & Metabolism Physician for PAULINE CAMACHO (MD). Clinical services aligned with this taxonomy classification.
Where is PAULINE CAMACHO (MD)'s primary listing?
We display Maywood, Illinois because that is what the record indicates for PAULINE CAMACHO (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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