NICHOLAS EMILE MALDONADO – Medical Physician Assistant, NPI 1992410757

NICHOLAS EMILE MALDONADO is a healthcare provider. based in Grayslake, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 7547-23 (WI). The NPI Number for NICHOLAS EMILE MALDONADO is 1992410757

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS EMILE MALDONADO
NPI
1992410757
Phone
(847) 757-8037
Address
307 HIGHLAND RD
Enumeration Date
17 January 2023
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625778000
Graduation Year
2023 (3 years ago)
PAC ID
0446613764
Group Practice PAC ID
4880056126
Professional Enrollment ID
I20230901002538
Address ID
WI531581984PL9555XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for NICHOLAS EMILE MALDONADO

  • 307 HIGHLAND RD

    GRAYSLAKE, IL 600301228

    Phone: (847) 757-8037

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: PFIZER INC. ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$38
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: 2023-09-01

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
I20230901002538IPhysician AssistantWITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 60030)

Loading plans...

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: 4880056126View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineGA
Internal Medicine, HospitalistMO
Physician AssistantMI
Hospitalist, Internal MedicineIL
Hospitalist, Internal MedicineIA
Internal MedicineNY
Internal MedicineIL
Internal Medicine, HospitalistWI
Physician AssistantWI
Internal Medicine, HospitalistMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for NICHOLAS EMILE MALDONADO?
NICHOLAS EMILE MALDONADO — NPI 1992410757 — is the standard way to identify this listing.
Does the file indicate NICHOLAS EMILE MALDONADO is practicing under active NPI?
Directory data currently reports NICHOLAS EMILE MALDONADO as active.
What healthcare role does NICHOLAS EMILE MALDONADO hold?
Scheduling teams often label NICHOLAS EMILE MALDONADO under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does NICHOLAS EMILE MALDONADO list a practice location?
Patients near Grayslake, Illinois may find NICHOLAS EMILE MALDONADO in results; validate coverage separately.
Why does NICHOLAS EMILE MALDONADO have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

JEANNE MARIE ROBACH (PA-C)

Medical Physician Assistant
168, Station Park Circle, Grayslake, Lake County, Illinois, 60030, United States
NPI: 1861451692

MR. SCOTT L CHANEY (PAC)

Medical Physician Assistant
947, Harris Road, Grayslake, Lake, Illinois, 60030, United States
NPI: 1174707004

CAROLINE GRACE KORNAK

Physician Assistant
5228 N NORTHWEST HWY
NPI: 1841813516