Individual provider Active NPI

Megan Reingold

  • Physician Assistant
  • Highland Park, IL
National Provider Identifier
1285325936
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1797 Balsam Rd
Highland Park, IL 60035-4343
Phone
(847) 899-1797
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1797 Balsam Rd
Highland Park, IL 60035-4343

Mailing address

1797 Balsam Rd
Highland Park, IL 60035-4343

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
I20250825001502 IL Practitioner - Physician Assistant 8921508854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
R Franklin University of Med & Sci/Chicago Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C Carqueville MD LLCGroup PAC ID 6709116361, 10 clinicians

Practice addresses (Care Compare)

1945 W Wilson Ave
Suite 6119
Chicago, IL 60640-5259
Phone (312) 319-1978

737 N Michigan Ave
Suite 720
Chicago, IL 60611-6661
Phone (312) 319-1978

920 N York Rd
Suite 100
Hinsdale, IL 60521-3515

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1285325936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 BALSAM RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 BALSAM RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354343",
            "telephone_number": "847-899-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINGOLD",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.