Individual provider Active NPI

Jill Motl, MD

  • Surgery Physician
  • Barrington, IL
National Provider Identifier
1376800284
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.147176 Issued in IL
Practice address
802 Fox Glen CT
Barrington, IL 60010-1860
Phone
(847) 381-8161
Fax
(847) 381-8167
NPI assigned
Apr 16, 2012
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.147176 IL Primary

Addresses

Primary practice location

802 Fox Glen CT
Barrington, IL 60010-1860

Mailing address

802 Fox Glen CT
Barrington, IL 60010-1860
Phone (847) 381-8161

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmotl237570@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924002968 IL Practitioner - General Surgery 9638475379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgical Care of Northern Illinois, LTDGroup PAC ID 0547298374, 9 clinicians

Practice addresses (Care Compare)

802 Fox Glen CT
Barrington, IL 60010-1860
Phone (847) 381-8161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.147176ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Care of Northern Illinois, LTD Surgery CurrentSince Aug 13, 2018 Accepting new patients

Locations

802 Fox Gln
Barrington, IL 60010
Phone (847) 350-9564

650 Dakota St
Ste B
Crystal Lake, IL 60012
Phone (815) 788-8680

Interoperability endpoints

  • Direct secure messaging: jmotl237570@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1376800284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101860",
            "telephone_number": "847-381-8161",
            "fax_number": "847-381-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101860",
            "telephone_number": "847-381-8161",
            "fax_number": "847-381-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTL",
        "first_name": "JILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.147176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmotl237570@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "802 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "802 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.