Active NPI
Carolina Ayala, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3303 W 26TH St
Chicago, IL 60623-4036 - Phone
- (480) 252-8331
- NPI assigned
- Jan 23, 2018
- 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
3303 W 26TH St
Chicago, IL 60623-4036
Mailing address
3303 W 26TH St
Chicago, IL 60623-4036
Phone (480) 252-8331
Other practice location 1
925 E 8th Ave Apt 110
Denver, CO 80218-3331
Phone (480) 252-8331
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Access Community Health Network |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3303 W 26TH St
Chicago, IL 60623-4036
Phone (773) 277-6589
7450 W 63Rd St
Summit, IL 60501-1816
Phone (708) 458-0757
Hospital & facility affiliations
- Nightengale of Chicago Inc.
- Mt Sinai Hospital Medical Center
- Schwab Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Past | Accepting new patients |
Locations
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
3303 W 26th St
Chicago, IL 60623
Phone (773) 277-6589
Interoperability endpoints
- cayala17519@direct.achn.net
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1659691715
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1043398217
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1871581314
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1023006566
Inpatient rehabilitation facility
-
- Home Health Agency
- Chicago, IL
- NPI 1669413167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1689172835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234036",
"telephone_number": "480-252-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234036",
"telephone_number": "480-252-8331"
}
],
"practiceLocations": [
{
"address_1": "925 E 8th Ave Apt 110",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802183331",
"country_code": "US",
"telephone_number": "480-252-8331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYALA",
"first_name": "CAROLINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2023-11-27",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "Y",
"affiliationName": "Access Community Health Network",
"address_1": "3303 W 26th St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606234036",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.