Individual provider Active NPI

Roxana Calafos, APN

  • Family Nurse Practitioner
  • West Chicago, IL
National Provider Identifier
1033586342
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013078 Issued in IL
Practice address
480 E Roosevelt Rd Ste 105
West Chicago, IL 60185-3969
Phone
(630) 492-1965
Fax
(630) 492-0933
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013078 IL Primary

Addresses

Primary practice location

480 E Roosevelt Rd Ste 105
West Chicago, IL 60185-3969

Mailing address

480 E Roosevelt Rd Ste 105
West Chicago, IL 60185-3969
Phone (630) 492-1965

Other practice location 1

16519 S Rte 59
Plainfield, IL 60586-2606
Phone (630) 646-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 1, 2019 through Jun 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motivated Medicine, PLLC Family CurrentSince Apr 25, 2021 Accepting new patients

Locations

480 E Roosevelt Rd
Ste 105
West Chicago, IL 60185
Phone (630) 492-1965

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1033586342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E ROOSEVELT RD STE 105",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853969",
            "telephone_number": "630-492-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E ROOSEVELT RD STE 105",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853969",
            "telephone_number": "630-492-1965",
            "fax_number": "630-492-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16519 S Rte 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605862606",
            "country_code": "US",
            "telephone_number": "630-646-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALAFOS",
        "first_name": "ROXANA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

Verify at the official NPI Registry.