Active NPI
Joseph William Frescura, PA-C
- Medical Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085010212
- Practice address
- 7447 W Talcott Ave Ste 221
Chicago, IL 60631-3713 - Phone
- (630) 866-3636
- NPI assigned
- Nov 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10004416A | IN | |
| Medical Physician Assistant | 363AM0700X | 085010212 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave Ste 221
Chicago, IL 60631-3713
Mailing address
7447 W Talcott Ave Ste 221
Chicago, IL 60631-3713
Phone (630) 866-3636
Other practice location 1
901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600
Other practice location 2
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085010212 | IL | MD | Medical Physician Assistant |
| 10004416A | IN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Services | Current | Accepting new patients |
Locations
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260
1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
Organizations & group practices 3
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.
-
- Family Medicine Physician
- East Chicago, IN
- NPI 1093213506
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1750856043
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1437866720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 221",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313713",
"telephone_number": "630-866-3636",
"fax_number": "773-692-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 221",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313713",
"telephone_number": "630-866-3636"
}
],
"practiceLocations": [
{
"address_1": "901 MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212901",
"country_code": "US",
"telephone_number": "219-836-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7435 W Talcott Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606313707",
"country_code": "US",
"telephone_number": "773-774-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRESCURA",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-04",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10004416A",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085010212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Ashley Frer, D.C.
- Denise A. Frer, ED.D., CH, CHTP
- William Joseph Frericks, DDS
- Lee A Frerker, PA
- Ruben Frescas Jr., M.D., M.P.H.
- William A Frese, MD
- Fresenius Medical Care Chatham, LLC
- Fresenius Medical Care Chicagoland, LLC
- Fresenius Medical Care Chicagoland, LLC
- Fresenius Medical Care Chicagoland, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.