Individual provider Active NPI

Madison M Monk, PA

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1427420066
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2015033746 Issued in MO
Practice address
880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378
Phone
(847) 618-0730
Fax
(847) 618-0799
NPI assigned
Oct 22, 2015
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2015033746 MO Primary

Addresses

Primary practice location

880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378

Mailing address

880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378
Phone (847) 618-0730

Other identifiers 1

IdentifierTypeStateIssuer
85006225OtherILSTATE LICENSE

Other names 1

  • Madisom M Henry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmonk114361@direct.nch.org

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
I20201209000328 IL Practitioner - Physician Assistant 2860702495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Community Women Services LLCGroup PAC ID 7214203942, 20 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Suite 101
Arlington Heights, IL 60004-2315
Phone (847) 212-3885

519 S Roselle Rd
Suite 301
Schaumburg, IL 60193-2925
Phone (847) 221-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
84.02
Promoting interoperability
98
Improvement activities
40
Cost
72.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 13, 2023 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince Oct 1, 2020 Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

880 W Central Rd
Ste 6200
Arlington Heights, IL 60005
Phone (847) 618-0730

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

Organizations & group practices 6

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1427420066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 6200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052378",
            "telephone_number": "847-618-0730",
            "fax_number": "847-618-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 6200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052378",
            "telephone_number": "847-618-0730",
            "fax_number": "847-618-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "MADISON",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2015033746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "85006225",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmonk114361@direct.nch.org",
            "affiliation": "N",
            "address_1": "880 W Central Rd Ste 6200",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISOM",
            "last_name": "HENRY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.