DR. JAVIER E. FAJARDO (M.D.) – Obstetrics & Gynecology Physician, NPI 1902943780
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JAVIER E. FAJARDO (M.D.)
2023 VADALABENE DR
STE 200
MARYVILLE, IL 620625636
Phone: (618) 288-7408
Fax: (618) 288-7418
Type: Mailing
Hazard Post Office, Main Street, Hazard, Perry County, Kentucky, 41729, United States
HAZARD, KY 417021988
Phone: (606) 439-1300
Fax: (606) 439-1400
Type: Mailing
Erie Neighborhood House, 1701, West Superior Street, Ukrainian Village, West Town, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606225646
Phone: (312) 432-7392
Type: Location
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-7000
Fax: (815) 968-7830
Type: Location
2419 W CORNERSTONE CT
PEORIA, IL 616142529
Phone: (309) 692-2025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Organon LLC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $16 |
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: 2021-08-12
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 |
|---|---|---|---|---|
| I20210812002695 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62062)
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Reviews
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