NPPES file of Aug 9, 2026

Heliodoro Medina, MD

Gastroenterology Physician · Geneva, IL

Heliodoro Medina, MD is a gastroenterology physician with a practice address in Geneva, Illinois, and NPI 1740267756, issued on Dec 30, 2005. Check the license (Illinois 036104186, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1740267756
Name
Heliodoro Medina
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
036104186 IL
Self-reported in NPPES; status is on the state search
Practice location
302 Randall RD, Geneva, IL 60134
Phone
(630) 262-7400
Enumerated
Dec 30, 2005
Record last updated
Mar 4, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(630) 262-3760
Medicaid ID
036100061 IL
Medicare enrollment
Enrolled (PECOS I20050601000120); accepts Medicare assignment
Medical or professional school
University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 1996
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 302 Randall RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Heather Anaya, DOMaternal & Fetal Medicine Physician1285890855
  2. Arvin Bhatia, MDGastroenterology Physician1841446788
  3. Steven Bielski, M.D.Endocrinology, Diabetes & Metabolism Physician1144227570
  4. Dean Bieniak, PA-CPhysician Assistant1386724581
  5. Andrew Bregman, MDGastroenterology Physician1982680013
  6. Kristina Bustamante, PHD, MA, BS, CCC-SLPSpeech-Language Pathologist1003206798

Verify Heliodoro Medina in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036104186
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.6 times the Medicare Part D claims of the average gastroenterology physician in 2024

2,108 Medicare Part D claims for 834 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.

  1. Heliodoro Medina2,108
  2. Specialty average811

Most prescribed

  1. Omeprazole788 claims
  2. Peg 3350-Electrolyte362 claims
  3. Pantoprazole Sodium281 claims
  4. Sucralfate94 claims
  5. Mesalamine69 claims
  6. Humira(Cf) Pen58 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $387.37

9 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Heliodoro Medina$387.37
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Central Dupage Physician GroupWheaton, IL
  2. Northwestern Medical Faculty FoundationGeneva, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Heliodoro Medina among 887 gastroenterology physician records in Illinois

Heliodoro Medina, MD is one of 887 gastroenterology physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated1996 · median 2003 among the 643 with a school on file
  • Record last updated2015 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Illinois

There are 887 gastroenterology physician records in Illinois.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Arvin Bhatia, MDGeneva, IL 601341841446788
  2. Andrew Bregman, MDGeneva, IL 601341982680013
  3. Paul Gekas, M.D.Geneva, IL 601341467450650
  4. Katherine Jelinek, M.D.Geneva, IL 601341750468591
  5. Faisal Khan, M.D.Geneva, IL 601341659396497
  6. Hemal Patel, MDGeneva, IL 601341548471600
  7. Sharif Zubair, MDGeneva, IL 601341316988033
  8. Ashish Arora, MDElmhurst, IL 601261336157171

Common questions

What is Heliodoro Medina, MD's NPI number?

Heliodoro Medina, MD's National Provider Identifier (NPI) is 1740267756, issued on Dec 30, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Heliodoro Medina, MD located?

The NPPES record lists a practice address at 302 Randall RD, Geneva, IL, 60134. Phone: (630) 262-7400. Providers update this record themselves, so call before visiting.

How can I verify Heliodoro Medina, MD's license?

NPPES lists Illinois license number 036104186, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Heliodoro Medina, MD prescribe under Medicare Part D?

In 2024, Heliodoro Medina, MD had 2,108 Medicare Part D claims for 834 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Heliodoro Medina, MD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.