Individual provider Active NPI

Caitlin Ursule Kairys, PA

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1124361274
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085009364 Issued in IL
Practice address
5841 S Maryland Ave Ste 1
Chicago, IL 60637-1473
Phone
(773) 702-1000
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 085009364 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave Ste 1
Chicago, IL 60637-1473

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone (773) 702-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170908000263 PA Practitioner - Physician Assistant 7517101413 Reassigns benefits to 2 organizations
I20200821002630 AZ Practitioner - Physician Assistant 7517101413
I20230630000676 IL Practitioner - Physician Assistant 7517101413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085009364ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Practice-Upmc,Inc CurrentSince Jan 20, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Upmc Community Medcine Inc CurrentSince Apr 2, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Upmc Community Medicine Inc CurrentSince Apr 2, 2018 Accepting new patients
Texan Urgent Care PLLC PastSince Jun 6, 2021 Accepting new patients
Physical Medicine Associates, LTD Past Accepting new patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

5841 S Maryland Ave
Ste 1
Chicago, IL 60637
Phone (708) 503-3345

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

9104 Babcock Blvd
Ste 6111
Pittsburgh, PA 15237
Phone (412) 366-2090

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 12

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124361274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371473",
            "telephone_number": "773-702-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRYS",
        "first_name": "CAITLIN",
        "middle_name": "URSULE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.