Individual provider Active NPI

Kayla McCarthy, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1386264992
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085008256 Issued in IL
Practice address
333 N Michigan Ave Ste 1400
Chicago, IL 60601-4011
Phone
(312) 815-9660
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 085008256 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 1400
Chicago, IL 60601-4011

Mailing address

333 N Michigan Ave Ste 1400
Chicago, IL 60601-4011
Phone (312) 815-9660

Other practice location 1

474 Ascot Dr
Maineville, OH 45039-7510
Phone (513) 833-7396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240909003831 TX Practitioner - Physician Assistant 9537563861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capitol Gastro, PAGroup PAC ID 9234416884, 4 clinicians

Practice addresses (Care Compare)

12414 Alderbrook Dr
Suite 101
Austin, TX 78758-2482
Phone (512) 593-6022

12701 RR 620
Suite 101
Austin, TX 78750-1141

12701 RR 620 N
Suite 101
Austin, TX 78750-1141
Phone (512) 593-6022

4100 Everett Dr
Suite 400
Kyle, TX 78640-6147
Phone (512) 593-6022

4207 James Casey St
Suite 111
Austin, TX 78745-3362
Phone (512) 593-6022

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Western Colorado,P C 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.

Hospital & facility affiliations 1

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1386264992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014011",
            "telephone_number": "312-815-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014011",
            "telephone_number": "312-815-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 Ascot Dr",
            "address_purpose": "LOCATION",
            "city": "Maineville",
            "state": "OH",
            "postal_code": "450397510",
            "country_code": "US",
            "telephone_number": "513-833-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.