Active NPI
Rayna Gorstein
- Physician Assistant
- Chicago, IL
National Provider Identifier
1639869076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3665 N Broadway St
Chicago, IL 60613-4567 - Phone
- (773) 496-4433
- NPI assigned
- May 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3665 N Broadway St
Chicago, IL 60613-4567
Mailing address
3665 N Broadway St
Chicago, IL 60613-4567
Phone (773) 496-4433
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
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 W Chicago Ave
Unit 2
Chicago, IL 60642-5236
Phone (773) 570-4220
1639 N Alpine Rd
Suite 260
Rockford, IL 61107-1481
Phone (815) 395-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- rayna.gorstein.1@25899.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Rockford, IL
- NPI 1821391442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683936000000",
"number": "1639869076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134567",
"telephone_number": "773-496-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134567",
"telephone_number": "773-496-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSTEIN",
"first_name": "RAYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-13",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 May 13, 2023; 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.