Individual provider Active NPI

Alyssa Lea Papuga, DO

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1144665654
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-140079 Issued in IL
Practice address
1247 Rickert Dr
Suite 201
Naperville, IL 60540-1008
Phone
(630) 357-7979
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-140079 IL Primary

Addresses

Primary practice location

1247 Rickert Dr
Suite 201
Naperville, IL 60540-1008

Mailing address

1247 Rickert Dr
Suite 201
Naperville, IL 60540-1008

Other names 1

  • Alyssa Lea Nikides Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apapuga119658@direct.edward.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823000956 IL Practitioner - Family Practice 2466773262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-140079ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Edward Health Ventures CurrentSince Aug 8, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Edward Health Ventures Family Medicine CurrentSince Aug 8, 2016 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

1247 Rickert Dr
Naperville, IL 60540
Phone (630) 355-6400

1247 Rickert Dr
Ste 201
Naperville, IL 60540
Phone (630) 357-7979

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • Direct secure messaging: apapuga119658@direct.edward.org

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 4

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1144665654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 RICKERT DR",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 RICKERT DR",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401008",
            "telephone_number": "630-357-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPUGA",
        "first_name": "ALYSSA",
        "middle_name": "LEA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-140079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apapuga119658@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1247 Rickert Dr",
            "address_2": "Suite 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605401008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "NIKIDES",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.