Individual provider Active NPI

Clementie Sinigur, PA-C

  • Physician Assistant
  • Kenneth City, FL
National Provider Identifier
1124660337
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007356 Issued in IL
Practice address
4390 66TH St N
Kenneth City, FL 33709-4920
Phone
(727) 513-4100
NPI assigned
Oct 9, 2019
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 085.007356 IL Primary

Addresses

Primary practice location

4390 66TH St N
Kenneth City, FL 33709-4920

Mailing address

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone (407) 780-8876

Other practice location 1

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone (407) 780-8876

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
I20201120001728 IL Practitioner - Physician Assistant 8820409923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.007356ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Karas PC CurrentSince Jul 10, 2020 Accepting new patients
Dedicated Senior Medical Centers of Florida, LLC PastSince Sep 25, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Past Accepting new patients

Locations

1725 E 95th St
Chicago, IL 60617
Phone (800) 238-9307

2215 Sanders Rd
Ste 110N
Northbrook, IL 60062
Phone (248) 533-5743

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

60 Orland Square Dr
Orland Park, IL 60462
Phone (708) 226-9055

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

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, 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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1124660337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "407-780-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094920",
            "telephone_number": "727-513-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Orland Square Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604626522",
            "country_code": "US",
            "telephone_number": "407-780-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINIGUR",
        "first_name": "CLEMENTIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenneth City, FL

Sources for this page

Verify at the official NPI Registry.