Individual provider Active NPI

Roger John Golingan, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1487036752
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012612 Issued in IL
Practice address
4508 W Belmont Ave
Chicago, IL 60641-4569
Phone
(773) 510-0397
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
Yes

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Physicians of Illinois LLC 5 clinicians

Practice addresses (Care Compare)

5940 W Touhy Ave
Suite 195
Niles, IL 60714-4638
Phone (847) 213-0599

Hospital & facility affiliations

  • Bay Group Health Care, LLC Home health agency, Arlington Heights, IL, CCN 147914
  • Good Life Home Health Care, Inc Home health agency, Skokie, IL, CCN 148210
  • North Shore Healthcare, Inc Home health agency, Park Ridge, IL, CCN 148326

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
I20150806010576 IL Practitioner - Nurse Practitioner 6800100629 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B&a Health Provider LLC CurrentSince Feb 1, 2021 Accepting new patients
Home Physicians of Illinois LLC CurrentSince Jun 1, 2020 Accepting new patients
Community Visiting Physicians LLC Past Accepting new patients

Locations

7331 N Lincoln Ave
Ste 15
Lincolnwood, IL 60712

5940 W Touhy Ave
Ste 195
Niles, IL 60714
Phone (312) 806-8102

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012612 IL Primary

Addresses

Primary practice location

4508 W Belmont Ave
Chicago, IL 60641-4569

Mailing address

4508 W Belmont Ave
Chicago, IL 60641-4569
Phone (773) 510-0397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2015.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1487036752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414569",
            "telephone_number": "773-510-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414569",
            "telephone_number": "773-510-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLINGAN",
        "first_name": "ROGER JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.