Individual provider Active NPI

Ashtyn N Janovyak, PA-C

  • Physician Assistant
  • Joliet, IL
National Provider Identifier
1275880692
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004343 Issued in IL
Practice address
823 N 129TH Infantry Dr Ste 103
Joliet, IL 60435-8347
Phone
(815) 729-9527
Fax
(815) 729-9530
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 085.004343 IL Primary
Surgical Physician Assistant 363AS0400X 385.003181 IL

Addresses

Primary practice location

823 N 129TH Infantry Dr Ste 103
Joliet, IL 60435-8347

Mailing address

823 N 129TH Infantry Dr Ste 103
Joliet, IL 60435-8347
Phone (815) 729-9527

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myplasticsurgeon.com

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
I20130424000418 IL Practitioner - Physician Assistant 2264678069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan Chen Surgical Associates, PCGroup PAC ID 7012109317, 2 clinicians

Practice addresses (Care Compare)

823 129TH Infantry Dr
Joliet, IL 60435-8347
Phone (815) 729-9527

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vic T. Tsai, M.D., S.C. PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 2

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 2

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1275880692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR STE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358347",
            "telephone_number": "815-729-9527",
            "fax_number": "815-729-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR STE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358347",
            "telephone_number": "815-729-9527",
            "fax_number": "815-729-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOVYAK",
        "first_name": "ASHTYN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004343",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "385.003181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myplasticsurgeon.com",
            "affiliation": "N",
            "address_1": "823 N 129th Infantry Dr Ste 103",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604358347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.