CMS-1500 Box 24J / 33a • NPI
1942542105
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0120X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery
Box 32 Service Location & ZIP+4
2160 S 1ST AVE, MAYWOOD, IL, 60153-3328
✓ 9-Digit EDI 837 ZIP+4 (60153-3328)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942542105 (GUILLERMO JAVIER ARES MAISONET, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942542105 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GUILLERMO JAVIER ARES MAISONET, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery NUCC Code: 2086S0120X (Surgery, Pediatric Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2160 S 1ST AVE, MAYWOOD, IL, 60153-3328 |
| Practice Telephone / Fax | Tel: (708) 216-9000 |
| Administrative Mailing Address | 225 E CHICAGO AVE, CHICAGO, IL, 60611-2991 |
| Enumeration & Last Sync | Enumerated: 2013-03-25 | CMS Record Updated: 2026-08-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0120X)
What Does Taxonomy Code 2086S0120X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0120X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GUILLERMO JAVIER ARES MAISONET, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2086S0120X — Surgery, Pediatric SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery | State: IL | License: 036139625 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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