Individual provider Active NPI

Karen Ferkau, P.A.

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1013082809
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001123 Issued in IL
Practice address
259 E Erie St Ste 1450
Chicago, IL 60611-3947
Phone
(312) 695-7746
Fax
(312) 694-6387
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 085001123 IL Primary

Addresses

Primary practice location

259 E Erie St Ste 1450
Chicago, IL 60611-3947

Mailing address

259 E Erie St Ste 1450
Chicago, IL 60611-3947
Phone (312) 695-7746

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
I20081014000129 IL Practitioner - Physician Assistant 5698843928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mid West Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain Specialists LLCGroup PAC ID 4082782230, 6 clinicians

Practice addresses (Care Compare)

1365 Wiley Rd
Suite 153
Schaumburg, IL 60173-4357
Phone (847) 519-4701

6920 Ogden Ave
Unit C
Berwyn, IL 60402-3685
Phone (847) 519-4701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085001123ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 12, 2011 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

680 N Lake Shore Dr
Ste 924
Chicago, IL 60611
Phone (312) 475-5628

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2501 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 250-1130

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1013082809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113947",
            "telephone_number": "312-695-7746",
            "fax_number": "312-694-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113947",
            "telephone_number": "312-695-7746",
            "fax_number": "312-694-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERKAU",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.