Individual provider Active NPI

Adelin Nita, PA C

  • Physician Assistant
  • Oakbrook Terrace, IL
National Provider Identifier
1649237959
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002641 Issued in IL
Practice address
2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone
(866) 259-1631
Fax
(855) 618-2629
NPI assigned
Apr 28, 2006
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002641 IL Primary
Surgical Physician Assistant 363AS0400X 085002641 IL

Addresses

Primary practice location

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290

Mailing address

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone (866) 259-1631

Other practice location 1

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833
Phone (630) 756-5270

Other identifiers 1

IdentifierTypeStateIssuer
085002641MedicaidIL

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
I20060106000599 IL Practitioner - Physician Assistant 4183647969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Oakbrook Terrace, IL 60181
Phone (312) 818-4650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 10, 2016 Accepting new patients
Vpa PC CurrentSince May 10, 2016 Accepting new patients
Home Care Physicians, Inc. Physician Assistant Past Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients

Locations

121 Fairfield Way
Ste 207
Bloomingdale, IL 60108
Phone (630) 529-7427

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

2 Transam Plaza Dr
Ste 410
Oakbrook Terrace, IL 60181
Phone (630) 529-7427

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: adelin.nita.1@32913.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1649237959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "866-259-1631",
            "fax_number": "855-618-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "866-259-1631",
            "fax_number": "855-618-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Burr Ridge Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270833",
            "country_code": "US",
            "telephone_number": "630-756-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITA",
        "first_name": "ADELIN",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002641",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085002641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085002641",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.