Individual provider Active NPI

Megan Elizabeth Suligoy, PA-C

  • Medical Physician Assistant
  • New Lenox, IL
National Provider Identifier
1326358367
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085003887 Issued in IL
Practice address
250 E Maple St
New Lenox, IL 60451-1871
Phone
(815) 485-0760
Fax
(815) 463-6138
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003887 IL Primary

Addresses

Primary practice location

250 E Maple St
New Lenox, IL 60451-1871

Mailing address

250 E Maple St
New Lenox, IL 60451-1871
Phone (815) 485-0760

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
I20140113000355 IL Practitioner - Physician Assistant 2567690829 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Dec 30, 2019 Accepting new patients
Health Service Systems, Inc CurrentSince Dec 30, 2019 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1326358367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511871",
            "telephone_number": "815-485-0760",
            "fax_number": "815-463-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511871",
            "telephone_number": "815-485-0760",
            "fax_number": "815-463-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIGOY",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.