Individual provider Active NPI

Connor Alexander Kuremsky, PA-C

  • Medical Physician Assistant
  • North Chicago, IL
National Provider Identifier
1497457089
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TBD Issued in MD
Practice address
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone
(847) 578-3000
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TBD MD Primary

Addresses

Primary practice location

3333 Green Bay Rd
North Chicago, IL 60064-3037

Mailing address

10463 Elk Run Rd
Catlett, VA 20119-2422
Phone (724) 766-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230911001587 DC Practitioner - Physician Assistant 7416311477 Reassigns benefits to 2 organizations
I20250124001577 CO Practitioner - Physician Assistant 7416311477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TBDMDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2023 Accepting new patients
Usacs of Colorado Inc CurrentSince Jan 4, 2025 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Aug 1, 2023 Accepting new patients
Usacs of Colorado Inc CurrentSince Jan 4, 2025 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Jul 1, 2024 Accepting new patients
Premier Emergency Services, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1497457089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 ELK RUN RD",
            "city": "CATLETT",
            "state": "VA",
            "postal_code": "201192422",
            "telephone_number": "724-766-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "847-578-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREMSKY",
        "first_name": "CONNOR",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.