Individual provider Active NPI

Marianne Nabil Rao, PA-C

  • Medical Physician Assistant
  • Algonquin, IL
National Provider Identifier
1679760110
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085003066 Issued in IL
Practice address
2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5470
Phone
(847) 458-7546
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003066 IL Primary

Addresses

Primary practice location

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5470

Mailing address

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5470

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
I20160916000448 IL Practitioner - Physician Assistant 7315170602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Illinois, LTDGroup PAC ID 7517288236, 10 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 407
Lake Barrington, IL 60010-2542
Phone (847) 458-7546

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500
Phone (847) 458-7546

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085003066ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algonquin Family Chiropractic LTD. PastSince Sep 12, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1679760110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR",
            "address_2": "SUITE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR",
            "address_2": "SUITE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025470",
            "telephone_number": "847-458-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "MARIANNE",
        "middle_name": "NABIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.