Active NPI
Madison Paige Segrin, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085010636
- Practice address
- 1611 W Harrison St Ste 400
Chicago, IL 60612-4861 - Phone
- (877) 632-6637
- Fax
- (708) 409-5179
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10004491A | IN | |
| Physician Assistant | 363A00000X | 085010636 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Mailing address
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone (877) 632-6637
Other practice location 1
9200 Calumet Ave Ste 300
Munster, IN 46321-2885
Phone (877) 632-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Chicago, IL 60612-4861
Phone (877) 632-6637
1625 N Harlem Ave
Suite 2600
Chicago, IL 60707-4303
Phone (887) 632-6637
770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491
Hospital & facility affiliations
- Rush Oak Park Hospital
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Physician Assistant | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737
Interoperability endpoints
- madison.segrin.1@12576.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
IN, Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1598505489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179"
}
],
"practiceLocations": [
{
"address_1": "9200 Calumet Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212885",
"country_code": "US",
"telephone_number": "877-632-6637",
"fax_number": "708-409-5179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGRIN",
"first_name": "MADISON",
"middle_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004491A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085010636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.