Individual provider Active NPI

Brian James Wynalda, PA-C

  • Physician Assistant
  • Geneva, IL
National Provider Identifier
1245991108
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2525 Kaneville Rd
Geneva, IL 60134-2578
Phone
(630) 584-1400
NPI assigned
Jan 4, 2022
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary
Surgical Physician Assistant 363AS0400X IL

Addresses

Primary practice location

2525 Kaneville Rd
Geneva, IL 60134-2578

Mailing address

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400

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
I20220303002435 IL Practitioner - Physician Assistant 3971997131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 140
Elgin, IL 60123-9401
Phone (630) 938-4011

2350 Royal Blvd
Suite 200
Elgin, IL 60123-4718
Phone (847) 931-5300

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

420 W Northwest Hwy
Suite M
Barrington, IL 60010-6812
Phone (847) 382-6766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
74.66
Promoting interoperability
100
Improvement activities
40
Cost
64.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Jun 8, 2023 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC CurrentSince Jan 12, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Jun 8, 2023 Accepting new patients
Fox Valley Orthopaedic Associates, S.C. CurrentSince Jan 12, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2971 W Algonquin Rd
Ste 101A
Algonquin, IL 60102
Phone (847) 854-8590

420 W Northwest Hwy
Barrington, IL 60010
Phone (847) 277-1376

420 W Northwest Hwy
Ste M
Barrington, IL 60010
Phone (847) 277-1376

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1550 N Randall Rd
Elgin, IL 60123
Phone (815) 569-6355

1710 N Randall Rd
Ste 140
Elgin, IL 60123
Phone (224) 293-1170

1975 Lin Lor Ln
Elgin, IL 60123
Phone (847) 468-1400

2350 Royal Blvd
Elgin, IL 60123
Phone (847) 695-8100

2350 Royal Blvd
Ste 200
Elgin, IL 60123
Phone (847) 931-5300

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

2535 Soderquist Ct
Geneva, IL 60134
Phone (630) 584-1400

1500 Sycamore Rd
Yorkville, IL 60560
Phone (630) 553-4470

Interoperability endpoints

  • Direct secure messaging: brian.wynalda.1@26750.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1245991108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNALDA",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.