Active NPI
Alex K Joseph, MBBS, PA-C
- Physician Assistant
- St Charles, IL
National Provider Identifier
1669923280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005999
- Practice address
- 2000 W Main St
St Charles, IL 60174-1775 - Phone
- (630) 463-6036
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- 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 | 085005999 | IL | Primary |
Addresses
Primary practice location
2000 W Main St
St Charles, IL 60174-1775
Mailing address
9403 Clancy Dr
Des Plaines, IL 60016-5118
Phone (224) 399-5393
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
- University of Wisconsin School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1669 Algonquin Rd
Rolling Meadows, IL 60008-4290
Phone (847) 258-4500
2380 S Elmhurst Rd
Mt Prospect, IL 60056-5805
Phone (708) 222-0100
5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085005999 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ownmed Medical Group PLLC | Current | Accepting new patients |
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.
-
- Family Medicine Physician
- Cicero, IL
- NPI 1518498393
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1053860080
-
- Internal Medicine Physician
- Darien, IL
- NPI 1457788648
-
- Urgent Care Clinic/Center
- Waukegan, IL
- NPI 1285048975
-
- Urgent Care Clinic/Center
- Northbrook, IL
- NPI 1881540805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1669923280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 CLANCY DR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600165118",
"telephone_number": "224-399-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MAIN ST",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741775",
"telephone_number": "630-463-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ALEX",
"middle_name": "K",
"credential": "MBBS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.