Individual provider Active NPI

Chiyoko Rando, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1073353728
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011954 Issued in IL
Practice address
3000 N Halsted St Ste 623
Chicago, IL 60657-5196
Phone
(773) 281-5818
Fax
(773) 281-6895
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 085.011954 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 623
Chicago, IL 60657-5196

Mailing address

3000 N Halsted St Ste 623
Chicago, IL 60657-5196
Phone (773) 281-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240716000852 OH Practitioner - Physician Assistant 9335684208 Reassigns benefits to 1 organization
I20260317002731 IL Practitioner - Physician Assistant 9335684208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Specialists IncGroup PAC ID 2062300809, 25 clinicians

Practice addresses (Care Compare)

4340 Clyo Rd
Dayton, OH 45459-7000
Phone (937) 396-2602

5697 Shull Rd
Suite 200
Huber Heights, OH 45424-1203
Phone (937) 534-7330

77 W Eleanor Dr
Springboro, OH 45066-1615
Phone (937) 534-7330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.011954ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gi, LLC CurrentSince Mar 1, 2026 Accepting new patients
Digestive Specialists Inc CurrentSince Jul 1, 2024 Accepting new patients
Digestive Specialists Inc CurrentSince Jul 1, 2024 Accepting new patients
Digestive Endoscopy Center LLC PastSince Jun 2, 2024 Accepting new patients

Locations

3000 N Halsted St
Ste 623
Chicago, IL 60657
Phone (773) 281-5818

2845 N Sheridan Rd
Ste 810
Chicago, IL 60657
Phone (773) 281-5818

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

4340 Clyo Rd
Sugarcreek Township, OH 45459
Phone (937) 913-2080

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1073353728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 623",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575196",
            "telephone_number": "773-281-5818",
            "fax_number": "773-281-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 623",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575196",
            "telephone_number": "773-281-5818",
            "fax_number": "773-281-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDO",
        "first_name": "CHIYOKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.