Individual provider Active NPI

Karl Roi Fontelo Calingacion, NP-C

  • Gerontology Nurse Practitioner
  • Lincolnwood, IL
National Provider Identifier
1598410375
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209024750 Issued in IL
Practice address
7380 N Lincoln Ave
Lincolnwood, IL 60712-1705
Phone
(847) 568-7400
NPI assigned
Feb 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209024750 IL Primary

Addresses

Primary practice location

7380 N Lincoln Ave
Lincolnwood, IL 60712-1705

Mailing address

7380 N Lincoln Ave
Lincolnwood, IL 60712-1705
Phone (847) 568-7400

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
I20220315002347 IL Practitioner - Nurse Practitioner 4789079450 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

7380 N Lincoln Ave
Lincolnwood, IL 60712-1705
Phone (847) 568-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209024750ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 3, 2023 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Feb 16, 2022 Accepting new patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jun 21, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7445 N Sheridan Rd
Chicago, IL 60626
Phone (773) 338-3300

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

7380 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 568-7400

9401 Ridgeland Ave
Oak Lawn, IL 60453
Phone (708) 559-6700

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1598410375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121705",
            "telephone_number": "847-568-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121705",
            "telephone_number": "847-568-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALINGACION",
        "first_name": "KARL ROI",
        "middle_name": "FONTELO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209024750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.