Individual provider Active NPI

Elmer John Capina, PA

  • Physician Assistant
  • Burr Ridge, IL
National Provider Identifier
1063408417
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8502-23 Issued in WI
Practice address
901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone
(888) 220-6432
Fax
(630) 654-4253
NPI assigned
Sep 21, 2005
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8502-23 WI Primary
Medical Physician Assistant 363AM0700X 085-002220 IL

Addresses

Primary practice location

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872

Mailing address

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, TX, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040715000887 IL Practitioner - Physician Assistant 3678552478 Reassigns benefits to 1 organization
I20250814004707 WI Practitioner - Physician Assistant 3678552478 Reassigns benefits to 1 organization
I20260318000340 TX Practitioner - Physician Assistant 3678552478 Reassigns benefits to 2 organizations
I20260527004218 CA Practitioner - Physician Assistant 3678552478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12319 N Mopac Expy
Suite 210
Austin, TX 78758-2414
Phone (877) 448-3627

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4000

901 McClintock Dr
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8502-23WIMDPhysician Assistant
085-002220ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince May 15, 2004 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Physician Assistant CurrentSince Jul 29, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince May 15, 2004 Accepting new patients
Metro Infectious Disease Consultants LLC Past Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 104
Burr Ridge, IL 60527
Phone (630) 986-4580

901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

200 S Greenleaf St
Gurnee, IL 60031
Phone (847) 244-5660

500 E Ogden Ave
Ste C
Hinsdale, IL 60521
Phone (630) 654-4201

4309 W Medical Center Dr
Ste B207
McHenry, IL 60050
Phone (815) 363-2080

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

115 Eagles Nest Dr
Ste B
Seneca, SC 29678
Phone (864) 885-1923

12319 N Mopac Expy
Ste 210
Austin, TX 78758
Phone (512) 248-7800

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: ecapina276324@direct.myadvocateaurora.org

Organizations & group practices 6

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1063408417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPINA",
        "first_name": "ELMER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8502-23",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-002220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.