Active NPI
Karl Roi Fontelo Calingacion, NP-C
- Gerontology Nurse Practitioner
- Lincolnwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209024750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209024750 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Current | Accepting new patients | |
| Midwest Post Acute Care PLLC | Current | Accepting new patients | |
| Prime Healthcare Illinois Medical Group LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Nurse Practitioner
- Chicago, IL
- NPI 1083012074
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.