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Grace Devitt

Pediatrics β€’ Maywood, IL

Active NPI 1902608813 Individual Practitioner
Practice location in NPPES

2160 S 1st Ave
Maywood, IL 601533328

Call 7082168757 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2160 S 1st Ave

Maywood, IL 601533328

Telephone 7082168757
Organization at the Same NPPES Address or Phone
Loyola University Medical Center Facility NPI 1376521575

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Grace Devitt has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Grace Devitt as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maywood and Illinois

58 active clinicians are listed under Pediatrics with a practice address in Maywood, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maywood

0% of these 58 clinicians have the CMS telehealth indicator.

3.4% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125.085586

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES IL 125085586

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - INTERNAL MEDICINE

Medicare Enrollment ID

I20250627000833

Enrollment State Jurisdiction

IL

PECOS Control ID

8527571116

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Amber Baskin , NP

Nurse Practitioner

NPI 1639816911

Nurse Practitioner

Dr. Kevin Boblick , MD

Internal Medicine

NPI 1356737076

Doctor of Medicine (M.D.)

Dr. Bradley Clifford , MD

Internal Medicine

NPI 1912971227

Doctor of Medicine (M.D.)

Dr. Daniel Djondo , MD

Internal Medicine - Pulmonary Disease

NPI 1285077453

Doctor of Medicine (M.D.)

Dr. Demetrios Doukas , DO

Internal Medicine - Interventional Cardiology

NPI 1801161906

Doctor of Osteopathic Medicine (D.O.)

NPI 1417278953

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Internal Medicine (license number reported to NPPES: IL 125085586)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Pediatrics (license number reported to NPPES: IL 125.085586)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2025

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: IL 125.085586)

βœ…
NPI Profile Active March 24, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2025

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 7082168757)

πŸ“
Business Mailing Address (Initial Record) March 24, 2025

Registered at 4 CALLEVIEW DR, LA GRANGE, IL 605256615 (Tel: 7082672003)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2025

Recorded as GRACE DEVITT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902608813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2025
Last Update: October 09, 2025
Sole Proprietor: Yes

Other Pediatrics Specialists in Maywood

Healthcare providers in Maywood

Mailing Address

4 Calleview Dr

La Grange, IL 605256615

Phone: 7082672003

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.