Active NPI
Ashley Seredynski, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1376913509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005661
- Practice address
- 1 E Superior St
Ste. 306
Chicago, IL 60611-2507 - Phone
- (312) 754-9404
- Fax
- (312) 754-9402
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085005661 | IL | Primary |
Addresses
Primary practice location
1 E Superior St
Ste. 306
Chicago, IL 60611-2507
Mailing address
1 E Superior St
Ste 306
Chicago, IL 60611-2595
Phone (312) 754-9404
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 S Arlington Heights Rd
Suite 116
Arlington Heights, IL 60005-4142
Phone (847) 666-5339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopaedics at Rush LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arlington Heights, IL
- NPI 1104341999
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1376913509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E SUPERIOR ST",
"address_2": "STE 306",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112595",
"telephone_number": "312-754-9404",
"fax_number": "312-754-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E SUPERIOR ST",
"address_2": "STE. 306",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112507",
"telephone_number": "312-754-9404",
"fax_number": "312-754-9402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREDYNSKI",
"first_name": "ASHLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.