Individual provider Active NPI

William Kyle Misch, PA-C

  • Physician Assistant
  • Elk Grove Village, IL
National Provider Identifier
1578016796
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005833 Issued in IL
Practice address
901 Biesterfield Rd Ste 300
Elk Grove Village, IL 60007-7324
Phone
(847) 437-9889
Fax
(847) 437-4149
NPI assigned
Jul 25, 2016
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005833 IL Primary

Addresses

Primary practice location

901 Biesterfield Rd Ste 300
Elk Grove Village, IL 60007-7324

Mailing address

901 Biesterfield Rd Ste 300
Elk Grove Village, IL 60007-7324
Phone (847) 437-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1578016796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCH",
        "first_name": "WILLIAM",
        "middle_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.