Individual provider Active NPI

Reda Kubilius, NP-C

  • Nurse Practitioner
  • Harvey, IL
National Provider Identifier
1063921799
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-016626 Issued in IL
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

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001757 IL Practitioner - Nurse Practitioner 7517223308 Reassigns benefits to 5 organizations

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
Hospitalist Physicians of Illinois, P.C.Group PAC ID 0941614044, 13 clinicians
Harvey Emergency Physicians PLLCGroup PAC ID 9436486560, 50 clinicians
Em Strategies,LTD.Group PAC ID 6103925920, 32 clinicians

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 Hospital, Harvey, IL, CCN 140191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-016626ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Associates Limited CurrentSince Sep 28, 2019 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Apr 29, 2020 Accepting new patients
Harvey Emergency Physicians, PLLC Nurse Practitioner CurrentSince Aug 28, 2019 Accepting new patients
Em Strategies,LTD. CurrentSince Dec 25, 2017 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Apr 29, 2020 Accepting new patients
Hospitalist Physicians of Illinois, P.C. Nurse Practitioner CurrentSince Jan 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.