Individual provider Active NPI

Ashley Caravelli, D.O.

  • Family Medicine Physician
  • St Charles, IL
National Provider Identifier
1508126509
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63659-21 Issued in WI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001276 WI Practitioner - Family Practice 5991938375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.161154ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aamg Reach PLLC Family Medicine CurrentSince Sep 22, 2022 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.

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

Verify at the official NPI Registry.