MAYRA GARIBAY (PA) – Physician Assistant, NPI 1891469615

MAYRA GARIBAY (PA) is a healthcare provider. based in Orland park, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085008881 (IL). The NPI Number for MAYRA GARIBAY (PA) is 1891469615

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MAYRA GARIBAY (PA)
NPI
1891469615
Phone
(708) 873-1187
Address
10755 163RD PL
Enumeration Date
4 August 2021
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Secondary Phone
4246008360
Graduation Year
2021 (5 years ago)
PAC ID
4688057458
Group Practice PAC ID
9931555141
Professional Enrollment ID
I20241022004332
Address ID
CA941173608SA350XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MAYRA GARIBAY (PA)

  • 10755 163RD PL

    ORLAND PARK, IL 604678861

    Phone: (708) 873-1187

    Type: Mailing

  • 780 S WEBER RD

    ROMEOVILLE, IL 604467500

    Phone: (708) 928-2113

    Type: Mailing

  • 16W731 MOCKINGBIRD LN APT 102

    WILLOWBROOK, IL 605276507

    Phone: (708) 928-2113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,288.

Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Lilly USA, LLC ($250).

Total Amount

$1,288

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220811003786IPhysician AssistantILTBD
I20241022004332IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60467)

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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: 9931555141View full group profile
NameSpecialtyState
Nurse PractitionerMD
Physician AssistantCA
Physician AssistantCA
Physician AssistantAZ
Internal MedicineCA
Nurse PractitionerCO
Physician AssistantCA
Nurse PractitionerFL
Nurse PractitionerCA
Physician AssistantPA

Reviews

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Frequently asked questions

How do payers reference MAYRA GARIBAY (PA)?
For MAYRA GARIBAY (PA), use NPI 1891469615 as the unique 10-digit identifier.
Is MAYRA GARIBAY (PA) shown as active in public data?
Registry records indicate MAYRA GARIBAY (PA) maintains an active NPI.
What area of care is associated with MAYRA GARIBAY (PA)?
MAYRA GARIBAY (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MAYRA GARIBAY (PA)?
Directory geography for MAYRA GARIBAY (PA) centers on Orland Park, Illinois.
Can I trust this NPI listing for MAYRA GARIBAY (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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