Individual provider Active NPI

Megan Becker, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1255813788
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006735 Issued in IL
Practice address
815 W Van Buren St Ste 302
Chicago, IL 60607-3593
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 085006735 IL Primary

Addresses

Primary practice location

815 W Van Buren St Ste 302
Chicago, IL 60607-3593

Mailing address

319 Ames St
Libertyville, IL 60048-2605
Phone (312) 339-4979

Other practice location 1

2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142
Phone (847) 637-5479

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
I20181008002072 IL Practitioner - Physician Assistant 5395097083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

1100 Jorie Blvd
Oak Brook, IL 60523-2219
Phone (630) 974-6602

409 Illinois Ave
Unit 1D
Saint Charles, IL 60174-2966
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Mental Health PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 3

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1255813788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 AMES ST",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482605",
            "telephone_number": "312-339-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W VAN BUREN ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073593",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 S Arlington Heights Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600054142",
            "country_code": "US",
            "telephone_number": "847-637-5479",
            "fax_number": "847-637-5479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.