Individual provider Active NPI

Monika Aneta Reyes, NP

  • Family Nurse Practitioner
  • Palos Heights, IL
National Provider Identifier
1215570247
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020128 Issued in IL
Practice address
7600 W College Dr Ste 2
Palos Heights, IL 60463-1035
Phone
(708) 671-1800
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.020128 IL Primary

Addresses

Primary practice location

7600 W College Dr Ste 2
Palos Heights, IL 60463-1035

Mailing address

7600 W College Dr Ste 2
Palos Heights, IL 60463-1035
Phone (708) 671-1800

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
I20191202002739 IL Practitioner - Nurse Practitioner 5799118923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N M Khan M D S CGroup PAC ID 9739273640, 3 clinicians

Practice addresses (Care Compare)

13011 S 104TH Ave
Suite 203
Palos Park, IL 60464-1512
Phone (708) 671-1800

Hospital & facility affiliations

  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N M Khan M D S C CurrentSince Oct 20, 2019 Accepting new patients

Locations

7600 W College Dr
Ste 2
Palos Heights, IL 60463
Phone (708) 671-1800

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

13011 S 104th Ave
Ste 203
Palos Park, IL 60464
Phone (708) 923-7900

515 N Main St
Sandwich, IL 60548
Phone (815) 786-8426

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.

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1215570247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-671-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-671-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MONIKA",
        "middle_name": "ANETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.