Individual provider Active NPI

Ashley Truhlar, PA-C

  • Physician Assistant
  • Tinley Park, IL
National Provider Identifier
1316709538
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010288 Issued in IL
Practice address
17859 80TH Ave
Tinley Park, IL 60477-5023
Phone
(888) 938-3838
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 085.010288 IL Primary

Addresses

Primary practice location

17859 80TH Ave
Tinley Park, IL 60477-5023

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250324000640 IL Practitioner - Physician Assistant 7315469913 Reassigns benefits to 2 organizations
I20251218002952 OH Practitioner - Physician Assistant 7315469913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uziel Shefa Medical SCGroup PAC ID 4082158118, 7 clinicians

Practice addresses (Care Compare)

5454 Fargo Ave
Suite 107
Skokie, IL 60077-3210
Phone (310) 933-5688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.010288ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Refana Health SC CurrentSince Jan 25, 2026 Accepting new patients
Kavanah Health Care LLC CurrentSince Sep 30, 2025 Accepting new patients
Uziel Shefa Medical SC CurrentSince Sep 22, 2025 Accepting new patients
Shefah Healthcare SC CurrentSince Sep 22, 2025 Accepting new patients
Expert Pain Physicians,LLC PastSince Mar 1, 2024 Accepting new patients

Locations

5454 Fargo Ave
Ste 107
Skokie, IL 60077

6100 Oak Tree Blvd
Independence, OH 44131
Phone (440) 518-8334

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCIFAD

Organizations & group practices 5

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1316709538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17859 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775023",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUHLAR",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.