Individual provider Active NPI

Gabriela Daniel Petrova

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1548059785
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085011366 Issued in IL
Practice address
2101 S Arlington Heights Rd Ste 185
Arlington Heights, IL 60005-4172
Phone
(773) 807-7590
NPI assigned
May 5, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 085.011366 IL
Psychiatry Physician 2084P0800X 085011366 IL
Physician Assistant 363A00000X 085011366 IL Primary
Medical Physician Assistant 363AM0700X 085011366 IL

Addresses

Primary practice location

2101 S Arlington Heights Rd Ste 185
Arlington Heights, IL 60005-4172

Mailing address

770 Whalom LN
Schaumburg, IL 60173-5926
Phone (773) 807-7590

Other practice location 1

1 Tiffany Pt Ste 105
Bloomingdale, IL 60108-2915
Phone (630) 980-1400

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
I20251024000163 IL Practitioner - Physician Assistant 1052809670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Clinic Arlington Heights LLCGroup PAC ID 0840558094, 29 clinicians

Practice addresses (Care Compare)

2101 S Arlington Heights Rd
Suite 116
Arlington Heights, IL 60005-4142
Phone (847) 666-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.011366ILMDPrescribing (Medical) Psychologist
085011366ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic Arlington Heights, LLC Prescribing (Medical) CurrentSince Oct 14, 2025 Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 116
Arlington Heights, IL 60005
Phone (847) 666-5339

Organizations & group practices 1

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1548059785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WHALOM LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735926",
            "telephone_number": "773-807-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 185",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054172",
            "telephone_number": "773-807-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tiffany Pt Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082915",
            "country_code": "US",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROVA",
        "first_name": "GABRIELA",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": "085.011366",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "085011366",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011366",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085011366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.