RAQUEL SALAZAR (PA) – Physician Assistant, NPI 1912196544

RAQUEL SALAZAR (PA) is a healthcare provider. based in Maywood, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085003709 (IL). The NPI Number for RAQUEL SALAZAR (PA) is 1912196544

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
RAQUEL SALAZAR (PA)
NPI
1912196544
Phone
Not provided
Address
2160 S 1ST AVE
Enumeration Date
19 October 2007
Last Update Date
2 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888240200
Graduation Year
2007 (19 years ago)
PAC ID
1355438540
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20120516000233
Address ID
IL606371443CH5841XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for RAQUEL SALAZAR (PA)

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

    EMS (110) BUILDING, SUITE 6237

    MAYWOOD, IL 601533328

    Phone:

    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 20 Open Payments records for all available years, with a total value of $458.

Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Getinge USA Sales, LLC ($275).

Total Amount

$458

General + Research + Ownership

Payments

20

Total payment records

General Amount

$458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

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: 2012-05-16

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
I20120516000233IPhysician AssistantILTBD

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
33508Harvest of vein using an endoscope1111$0
33533Coronary artery bypass using artery graft, 1 graft1111$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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I cross-check RAQUEL SALAZAR (PA) using NPI 1912196544?
NPI 1912196544 belongs to RAQUEL SALAZAR (PA); compare other details if you need extra assurance.
Would RAQUEL SALAZAR (PA) appear as active to a payer?
You can treat RAQUEL SALAZAR (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is RAQUEL SALAZAR (PA)?
RAQUEL SALAZAR (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for RAQUEL SALAZAR (PA)?
Travel planning: use Maywood, Illinois as the reference point for RAQUEL SALAZAR (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.