DR. JOHNEL MAYBERRY M.D.
NPI 1952798142
Student in an Organized Health Care Education/Training Program in Chicago, IL
NPI Status: Active since April 25, 2015
Contact Information
836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 975-1600
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JOHNEL MAYBERRY
This page provides the complete NPI Profile along with additional information for Johnel Mayberry, a primary care provider established in Chicago, Illinois with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1952798142 assigned on April 2015. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1952798142
- Provider Name
- DR. JOHNEL MAYBERRY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 836 W WELLINGTON AVE CHICAGO, IL 60657
- Location Phone
- (773) 975-1600
- Mailing Address
- 2529 N RUTHERFORD AVE CHICAGO, IL 60707
- Mailing Phone
- (773) 619-2937
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2015
- Last Update Date
- 04-25-2015
- Code Navigator
A primary care provider (PCP) like Johnel Mayberry sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Johnel Mayberry 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 | 9 | 5 | 2 | 7 | 9 | 8 | 1 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 14 | 9 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 1 + 4 + 9 + 1 + 6 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1952798142 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1073596904 | DR. WILLIAM NORMAN WERNER M.D., M.P.H. Individual | Internal Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-5888 |
| 1598721011 | SARAH JANE VALTER MD Individual | Obstetrics & Gynecology | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-8945 |
| 1245282573 | MR. THOMAS ROBERT WHEELER III RPH Individual | Pharmacist | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-8094 |
| 1457307555 | DR. TIMOTHY JAMES RITTENBERRY M.D. Individual | Emergency Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7267 |
| 1285681759 | MELANIE MCGRAW M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 836 W WELLINGTON AVE ROOM 3614 CHICAGO, IL 60657 (773) 296-7047 |
| 1205873106 | WILLIAM CHARLES TOEPPER MD Individual | Emergency Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7054 |
| 1396786844 | DR. RICHARD M FELDMAN M.D. Individual | Emergency Medicine | 836 W WELLINGTON AVE EMERGENCY DEPARTMENT CHICAGO, IL 60657 (773) 296-7054 |
| 1225079676 | JULIE VARGA M.D. Individual | Emergency Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7054 |
| 1396788006 | DR. BIKRAM SINGH DHILLON M.D. Individual | Emergency Medicine | 836 W WELLINGTON AVE ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, EMERGENCY MED CHICAGO, IL 60657 (773) 296-7054 |
| 1376588525 | MICHELE MARIE MELLETT M.D. Individual | Surgery (Surgical Critical Care) | 836 W WELLINGTON AVE TRAUMA OFFICE, 4318 CHICAGO, IL 60657 (773) 296-7033 |
| 1982640066 | TULIKA SINGH MD Individual | Emergency Medicine | 836 W WELLINGTON AVE DEPT OF EMERGENCY MEDICINE CHICAGO, IL 60657 (773) 296-5878 |
| 1538105390 | CRETICOS ID ASSOCIATES SC Organization | Internal Medicine (Infectious Disease) | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7039 |
| 1801826854 | JAMES PATRICK DUNPHY M.D. Individual | Internal Medicine | 836 W WELLINGTON AVE SUITE 7405 CHICAGO, IL 60657 (773) 296-7704 |
| 1316978240 | DR. MICHAEL ANTHONY CROMEANS M.D. Individual | Emergency Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7054 |
| 1457383697 | DR. RICHARD JOSEPH FANTUS M.D. Individual | Surgery (Surgical Critical Care) | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7033 |
| 1952333957 | DR. MARC HOMER DAHMAN M.D. Individual | Surgery (Trauma Surgery) | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-5073 |
| 1124053673 | DR. ANDREW JAMES ARONSON M.D. Individual | Pediatrics (Pediatric Nephrology) | 836 W WELLINGTON AVE DEPARTMENT OF PEDIATRICS SUITE 3612 CHICAGO, IL 60657 (773) 296-5625 |
| 1598780892 | DR. JOHN NEWCOMB SHEAGREN M.D. Individual | Internal Medicine | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7084 |
| 1356368013 | DR. AMAYA LOPEZ BUSTINDUY M.D. Individual | Pediatrics | 836 W WELLINGTON AVE ROOM 3612 CHICAGO, IL 60657 (773) 296-5673 |
| 1578582771 | DR. NESTOR ALFONSO RAMIREZ-LOPEZ MD, MPH Individual | Pediatrics (Neonatal-Perinatal Medicine) | 836 W WELLINGTON AVE CHICAGO, IL 60657 (773) 296-7458 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952798142, enumerated in the NPI registry as an "individual" on April 25, 2015
The provider is located at 836 W Wellington Ave Chicago, Il 60657 and the phone number is (773) 975-1600
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 25, 2015. 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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