Patricia Kinsella-Stallter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-101480 Issued in IL

Practice address

2972 Indian Trail Rd
Aurora, IL 60502-9408

Phone

(630) 499-0812

Fax

(630) 499-0823

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkinsellastallter84068@direct.rush.rush-health.com

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.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848
  Medicare reassignment Care Compare group NPD
• Copley Memorial Hospital, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Aurora, IL
  • NPI 1619466034
  Medicare reassignment Care Compare group
• Rush Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1467312850
  Medicare reassignment
• Rush Copley Medical Group

  • Obstetrics Physician
  • Yorkville, IL
  • NPI 1295836534
  NPD
• Rush University Medical Center

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1184269425
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation
• DMJ Home Health Services, Inc

  • Home Health Agency
  • Aurora, IL
  • NPI 1154532315
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1174519664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-499-0812",
            "fax_number": "630-499-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-499-0812",
            "fax_number": "630-499-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSELLA-STALLTER",
        "first_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-101480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Gregory King, M.D.
• Paige E. King, MD
• Kirsten Kingsley
• Kingsway ENT. Inc
• Anne M Kinn, DO
• Thomas Bateman Kinsella, D.C.
• Susan Mary Kinsman, LCPC
• Kolette A Kirkenmeier, PA-C
• Megan Grace Kirsten, CCC-SLP
• Megan Kleemann

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.