Individual provider Active NPI

Alicja Karolina Weyrich, PA-C

  • Physician Assistant
  • Batavia, IL
National Provider Identifier
1063157048
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1049 E Wilson St Ste 190
Batavia, IL 60510-2478
Phone
(630) 482-3700
NPI assigned
May 3, 2022
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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 NU Primary

Addresses

Primary practice location

1049 E Wilson St Ste 190
Batavia, IL 60510-2478

Mailing address

694 Mayfair Dr
Carol Stream, IL 60188-4335
Phone (630) 880-2812

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
I20221216001769 IL Practitioner - Physician Assistant 3870962608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 120
Elgin, IL 60123-7900
Phone (847) 608-6647

820 E Terra Cotta Ave
Suite 125
Crystal Lake, IL 60014-3650
Phone (815) 455-7143

901 Biesterfield Rd
Suite 209
Elk Grove Village, IL 60007-7300
Phone (847) 593-6222

Merit-based Incentive Payment System (MIPS)

Final score
75.17 of 100Reported as group
Quality
63.5
Improvement activities
40
Cost
65.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mohs Surgery &Dermatology Past Accepting new patients
Elk Grove Dermatology, S.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aweyrich@directaddress.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1063157048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MAYFAIR DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884335",
            "telephone_number": "630-880-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST STE 190",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102478",
            "telephone_number": "630-482-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYRICH",
        "first_name": "ALICJA",
        "middle_name": "KAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.