JUANITA MORA (MD) – Allergy & Immunology Physician, NPI 1750557179
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
220 ALLERGY/IMMUNOLOGY in IL
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Provider Addresses for JUANITA MORA (MD)
West Irving Park Road, Irving Park, Chicago, Jefferson Township, Cook County, Illinois, 60625, United States
100
CHICAGO, IL 606412640
Phone: (773) 614-7315
Fax: (773) 644-1370
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)
CMS reports 199 Open Payments records for all available years, with a total value of $13,364.
Total Amount is formed as General ($13,364) + Research ($0) + Ownership ($0) = $13,364.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($7,678).
Total Amount
$13,364
General + Research + Ownership
Payments
199
Total payment records
General Amount
$13,364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $7,678 |
| AstraZeneca Pharmaceuticals LP | $2,779 |
| GENZYME CORPORATION | $714 |
| Regeneron Healthcare Solutions, Inc. | $687 |
| CSL Behring | $180 |
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: 2011-09-26
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 |
|---|---|---|---|---|
| I20110926000244 | I | Allergy/Immunology | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,184 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 45 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 53 | 18 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 25 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 60641)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | IL | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 938 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL |
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