Individual provider Active NPI

Mevlida Vranjaca, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1558087825
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009322 Issued in IL
Practice address
1520 N Damen Ave
Chicago, IL 60622-1967
Phone
(312) 283-5560
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 085.009322 IL Primary

Addresses

Primary practice location

1520 N Damen Ave
Chicago, IL 60622-1967

Mailing address

221 W Hubbard St Unit 1207
Chicago, IL 60654-4919
Phone (317) 670-2896

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
I20230314002241 IL Practitioner - Physician Assistant 2466826474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

219 W Chicago Ave
Chicago, IL 60654-5600
Phone (312) 878-1945

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

4070 N Milwaukee Ave
Chicago, IL 60641-1831
Phone (312) 374-6104

5240 N Pulaski Rd
Suite O
Chicago, IL 60630-1761
Phone (773) 257-0612

779 W Adams St
Chicago, IL 60661-3509
Phone (312) 752-4466

9735 Skokie Blvd
Skokie, IL 60077-1383
Phone (847) 380-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jan 30, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jan 30, 2023 Accepting new patients

Locations

12200 Western Ave
Ste 100
Blue Island, IL 60406
Phone (708) 631-2781

1520 N Damen Ave
Chicago, IL 60622
Phone (312) 278-5955

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677283200000",
    "number": "1558087825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HUBBARD ST UNIT 1207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544919",
            "telephone_number": "317-670-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221967",
            "telephone_number": "312-283-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRANJACA",
        "first_name": "MEVLIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.