Grace Catherine Alcaraz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004762 Issued in IL

Practice address

1349 N Western Ave
Chicago, IL 60622-8316

Phone

(773) 384-8584

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

No

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.

• Cam Medical Group S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1992863526

  IL

  Medicare reassignment

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: grace.alcaraz.1@8544.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2017.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1356864698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 N LOWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCARAZ",
        "first_name": "GRACE",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen A Alcala, M.D.
• Jasmine Denise Alcala, A.T.C., L.A.T, MA ED
• Gabriel Vincente Alcantara, LCSW
• Marc Alcantara, APRN, NP-C
• Paola Vanessa Alcantara
• Marisa Ann Alcaro, D.P.T.
• Roberto Javier Alcazar Felix, MD
• Jazmin Alcazar
• Nathan Alcazar, MS, BCBA
• Lowela Alcedo, OTR

• All providers in Chicago, IL
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.