Individual provider Active NPI

Marina Gershteyn, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1003141995
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-003534 Issued in IL
Practice address
5600 W Addison St Ste 306
Chicago, IL 60634-4468
Phone
(773) 283-8664
Fax
(773) 283-8688
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-003534 IL Primary

Addresses

Primary practice location

5600 W Addison St Ste 306
Chicago, IL 60634-4468

Mailing address

4953 Wright Ter
Skokie, IL 60077-2340
Phone (773) 366-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001282 IL Practitioner - Physician Assistant 7810186988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory, Critical Care and Sleep Specialists, LLCGroup PAC ID 8729302054, 9 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-003534ILMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1003141995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 WRIGHT TER",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772340",
            "telephone_number": "773-366-1360",
            "fax_number": "847-329-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344468",
            "telephone_number": "773-283-8664",
            "fax_number": "773-283-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHTEYN",
        "first_name": "MARINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.