DR. CARLITO CRUZ JAVIER MD
NPI 1336229939
Emergency Medicine in Chicago, IL
NPI Status: Active since October 17, 2006
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About CARLITO JAVIER
This page provides the complete NPI Profile along with additional information for Carlito Javier, a provider established in Chicago, Illinois with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1336229939 assigned on October 2006. The practitioner's primary taxonomy code is 207P00000X with license number 036059784 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1336229939
- Provider Name
- DR. CARLITO CRUZ JAVIER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 45 W 111TH ST CHICAGO, IL 60628
- Location Phone
- (773) 995-3000
- Mailing Address
- 34816 EAGLE WAY CHICAGO, IL 60678
- Mailing Phone
- (630) 734-0200
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2006
- Last Update Date
- 04-19-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036059784
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Carlito Javier is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 22 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60628 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 2 | 9 | 9 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 2 | 18 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 2 + 1 + 8 + 9 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1336229939 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245222454 | CARL VANCOL MD Individual | Family Medicine | 45 W 111TH ST SUITE 304 CHICAGO, IL 60628 (773) 995-3463 |
| 1215979729 | DR. MADHUPA SUD M.D. Individual | Specialist | 45 W 111TH ST SUITE 203 CHICAGO, IL 60628 (773) 995-3460 |
| 1851328546 | NORYBDEER LIMITED Organization | Internal Medicine | 45 W 111TH ST SUITE B CHICAGO, IL 60628 (773) 370-5254 |
| 1356365233 | CLARETTA HODGES M.D. Individual | Anesthesiology | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3057 |
| 1700055571 | METROPOLITAN CHICAGO HEALTH ASSOCIATION Organization | General Practice | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3110 |
| 1659616142 | CHICAGO WOMENS HEALTH PRACTITIONER, LLC Organization | Obstetrics & Gynecology | 45 W 111TH ST 3RD FLOOR CHICAGO, IL 60628 (708) 468-4070 |
| 1063886760 | MADHUPA SUD MD SC Organization | Pediatrics | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3460 |
| 1780932061 | AUNT MARTHA'S YOUTH SERVICE CENTER, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 45 W 111TH ST CHICAGO, IL 60628 (877) 692-8686 |
| 1619417979 | ROSELAND COMMUNITY HOSPITAL ASSOCIATION Organization | Pharmacy (Community/Retail Pharmacy) | 45 W 111TH ST CHICAGO, IL 60628 (773) 291-1684 |
| 1780110346 | ROXANNE SPURLARK Individual | Nurse Practitioner (Family) | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3000 |
| 1780634733 | DR. RITA J MCGUIRE M.D. Individual | Obstetrics & Gynecology | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3000 |
| 1730687591 | TRANISHA LYNETTE LUCAS FNP-BC Individual | Nurse Practitioner (Family) | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3070 |
| 1063918555 | MRS. BRENDA BEBEN RD Individual | Dietitian, Registered | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3234 |
| 1265997142 | ROSELAND COMMUNITY HOSPITAL ASSOCIATION Organization | Dentist (General Practice) | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3000 |
| 1003371717 | SHAKIRA AYANLAJA APN Individual | Nurse Practitioner (Family) | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3195 |
| 1265481030 | EMERGENCY MEDICAL SPECIALIST, S.C Organization | Emergency Medicine | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3000 |
| 1922492628 | ADVANCED IMAGING SERVICES Organization | Radiology (Diagnostic Radiology) | 45 W 111TH ST CHICAGO, IL 60628 (630) 929-3034 |
| 1043816515 | NEW ROSE HEALTHCARE MANAGEMENT LLC Organization | Emergency Medicine | 45 W 111TH ST CHICAGO, IL 60628 (773) 995-3000 |
| 1740897149 | HEALTHCARE ALTERNATIVE SYSTEMS, INC. Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 45 W 111TH ST CHICAGO, IL 60628 (773) 252-3100 |
| 1851960876 | PANDEMIC SOLUTIONS LLC Organization | Anesthesiology (Pain Medicine) | 45 W 111TH ST CHICAGO, IL 60628 (312) 416-4363 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336229939, enumerated in the NPI registry as an "individual" on October 17, 2006
The provider is located at 45 W 111th St Chicago, Il 60628 and the phone number is (773) 995-3000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity.
This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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