Clementa Istrata-Iacob

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.024618 Issued in IL

Practice address

911 N Elm St Ste 102
Hinsdale, IL 60521-3640

Phone

(630) 495-9356

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: cistrataiacob49732@direct.acumenmd.com

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.

• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1124069182
  Medicare reassignment Care Compare group NPD
• Nani Elk Grove

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1154675528
  Medicare reassignment NPD
• Nani-Ihp LLC

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1417376385
  Medicare reassignment NPD
• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1134319924
  NPD
• Advanced Renal Care LTD

  • Nephrology Physician
  • Lombard, IL
  • NPI 1740307743
  NPD (past)
• Linda Roberts & Associates Inc

  • Registered Dietitian
  • Wheaton, IL
  • NPI 1073832002
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1609534635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N ELM ST STE 102",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213640",
            "telephone_number": "630-495-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTRATA-IACOB",
        "first_name": "CLEMENTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "911 N Elm St Ste 102",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Integrity Orthopedics and Pain LTD
• Stavros P Ionides, MD
• Nuzhat Mehraj Iqbal, PA-C
• Rukhsana Iqbal, MD
• Jessica Ischar
• Valerie Y Ito, MD
• Iveta Boyanchek MD SC
• Ronda Jaber
• Kinsey Meredith Jackson-Ford, CNM
• Alexis Jackson

• Nurse Practitioner in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.

Verify at the official NPI Registry.