Individual provider Active NPI

Sarah Kapolnek, PA

  • Physician Assistant
  • Des Plaines, IL
National Provider Identifier
1124792932
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.008699 Issued in IL
Practice address
999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Phone
(877) 342-0237
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 085.008699 IL Primary

Addresses

Primary practice location

999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748

Mailing address

999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748

Other practice location 1

690 Goldenrod Dr
Algonquin, IL 60102-6503
Phone (847) 977-2367

Other identifiers 1

IdentifierTypeStateIssuer
085.008699OtherILLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IN3 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
I20220203001988 IL Practitioner - Physician Assistant 2163815721 Reassigns benefits to 1 organization
I20220311000644 WI Practitioner - Physician Assistant 2163815721 Reassigns benefits to 1 organization
I20220420002069 IN Practitioner - Physician Assistant 2163815721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University, Chicago College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Hip Institute LLCGroup PAC ID 9335488063, 16 clinicians

Practice addresses (Care Compare)

999 E Touhy Ave
Des Plaines, IL 60018-2748
Phone (630) 920-2323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.008699ILMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1124792932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182748",
            "telephone_number": "877-342-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Goldenrod Dr",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601026503",
            "country_code": "US",
            "telephone_number": "847-977-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOLNEK",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "085.008699",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.