Ross Mamaril, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.020575 Issued in IL

Practice address

4815 S Western Blvd
Chicago, IL 60609-4067

Phone

(773) 927-4200

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.51 of 100Reported as group

Quality

10

Improvement activities

40

Cost

75.05

Merit-based Incentive Payment System (MIPS)

Final score

83.7 of 100Reported as group

Quality

69.77

Improvement activities

40

Cost

67.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Telemedico Physicians SC

  • Cardiovascular Disease Physician
  • Highland Park, IL
  • NPI 1912368150
  Medicare reassignment Care Compare group NPD
• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1275990707
  Medicare reassignment NPD
• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment NPD
• Telemedico Physicians Pulmonary SC

  • Pulmonary Disease Physician
  • Highland Park, IL
  • NPI 1972115384
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1043845027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302429",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S WESTERN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094067",
            "telephone_number": "773-927-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMARIL",
        "first_name": "ROSS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Malwitz, CRNA
• Michelle Rae Maly, DO
• Paulina Malysko, M.A., LPC
• Jessica Eve Mamalio, PHARMD
• Mamanatandathernizampc.
• Nurbek Mambetsariev
• Emma Kate Mamis, R-DMT
• Mamma Jamma Dance & Maternal Wellness LLC
• Jamie Mammen
• Sidra Mamsa, MD

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.