Active NPI
Ashley Caravelli, D.O.
- Family Medicine Physician
- St Charles, IL
National Provider Identifier
1508126509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 63659-21
- Practice address
- 902 S Randall Rd Ste C
St Charles, IL 60174-1554 - Phone
- (630) 349-6044
- NPI assigned
- May 23, 2012
- Last updated
- Jul 31, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.161154 | IL | |
| Family Medicine Physician | 207Q00000X | 63659-21 | WI | Primary |
Addresses
Primary practice location
902 S Randall Rd Ste C
St Charles, IL 60174-1554
Mailing address
902 S Randall Rd Ste C
St Charles, IL 60174-1554
Phone (630) 349-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161154 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aamg Reach PLLC | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Elkhorn, WI
- NPI 1104988013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1508126509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S RANDALL RD STE C",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741554",
"telephone_number": "630-349-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S RANDALL RD STE C",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741554",
"telephone_number": "630-349-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAVELLI",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.161154",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "63659-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.