Individual provider Active NPI

April Rene Penkala, PA-C

  • Surgical Physician Assistant
  • Elgin, IL
National Provider Identifier
1649436783
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
085003247 Issued in IL
Practice address
1600 N Randall Rd Ste 400
Elgin, IL 60123-7805
Phone
(847) 381-8899
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085003247 IL Primary

Addresses

Primary practice location

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805

Mailing address

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805

Other names 1

  • April Rene Pingry Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apenkala@directaddress.net
FHIR URL https://select.nextech-api.com/api

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
I20080911000620 IL Practitioner - Physician Assistant 2163598319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

1531 S Grove Ave
Unit 101
Barrington, IL 60010-5250
Phone (847) 381-8899

230 Commons Dr
Geneva, IL 60134-2522
Phone (847) 381-8899

353 Bank Dr
Suite 400
McHenry, IL 60050-0506
Phone (847) 381-8899

525 E Congress Pkwy
Suite 200
Crystal Lake, IL 60014-6271
Phone (847) 381-8899

750 W Lake Cook Rd
Suite 270
Buffalo Grove, IL 60089-2069
Phone (847) 381-8899

820 W Bartlett Rd
Bartlett, IL 60103-4402
Phone (847) 381-8899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085003247ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC CurrentSince Jan 2, 2017 Accepting new patients
Derick Dermatology, PLLC CurrentSince Jan 2, 2017 Accepting new patients
Midwest Orthopaedics at Rush, LLC Past Accepting new patients
Derick Dermatology, PLLC Past Accepting new patients

Locations

85 W Algonquin Rd
Ste 220
Arlington Heights, IL 60005
Phone (866) 337-4251

1531 S Grove Ave
Unit 101
Barrington, IL 60010

820 W Bartlett Rd
Bartlett, IL 60103

329 Remington Blvd
Ste 225
Bolingbrook, IL 60440
Phone (630) 633-1000

750 W Lake Cook Rd
Ste 270
Buffalo Grove, IL 60089

805 Village Center Dr
Burr Ridge, IL 60527

8501 W Higgins Rd
Ste 100
Chicago, IL 60631

525 E Congress Pkwy
Ste 200
Crystal Lake, IL 60014

1600 N Randall Rd
Ste 400
Elgin, IL 60123

230 Commons Dr
Geneva, IL 60134

950 Technology Way
Ste 150
Libertyville, IL 60048
Phone (847) 926-0106

1025 Red Oak Ln
Ste 250
Lindenhurst, IL 60046

353 Bank Dr
Ste 400
McHenry, IL 60050

263 Shuman Blvd
Ste 125
Naperville, IL 60563

1900 Spring Rd
Ste 210
Oak Brook, IL 60523

1147 South Blvd
Oak Park, IL 60302

14225 S 95th Ave
Ste 418
Orland Park, IL 60462

12736 S Route 59
Unit 102
Plainfield, IL 60585

Interoperability endpoints

  • Direct secure messaging: apenkala@directaddress.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1649436783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENKALA",
        "first_name": "APRIL",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085003247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apenkala@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1600 N Randall Rd Ste 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1600 N Randall Rd Ste 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "PINGRY",
            "middle_name": "RENE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.