Active NPI
Reda Kubilius, NP-C
- Nurse Practitioner
- Harvey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-016626
- Practice address
- 1 Ingalls Dr
Harvey, IL 60426-3558 - Phone
- (708) 915-9250
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-016626 | IL | Primary |
Addresses
Primary practice location
1 Ingalls Dr
Harvey, IL 60426-3558
Mailing address
2875 Centurion Lane
New Lenox, IL 60451
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300
1600 Torrence Ave
Calumet City, IL 60409-5430
Phone (954) 939-5000
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100
Hospital & facility affiliations
- Ingalls Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-016626 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Associates Limited | Current | Accepting new patients | |
| Inpatient Consultants of Illinois, P.C. | Current | Accepting new patients | |
| Harvey Emergency Physicians, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Em Strategies,LTD. | Current | Accepting new patients | |
| Inpatient Consultants of Illinois, P.C. | Current | Accepting new patients | |
| Hospitalist Physicians of Illinois, P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- rkubiliusapn237223@uchospital.direct-ci.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- New Lenox, IL
- NPI 1679791834
-
- Emergency Medicine Physician
- Calumet City, IL
- NPI 1184281651
Nurse Practitioner
-
- Hospitalist Physician
- Harvey, IL
- NPI 1396347761
Nurse Practitioner
-
- Infectious Disease Physician
- Oak Brook, IL
- NPI 1699201582
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1548442569
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1003850843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1063921799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 CENTURION LANE",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 INGALLS DR",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263558",
"telephone_number": "708-915-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBILIUS",
"first_name": "REDA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-016626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.