Individual provider Active NPI

Carolina Ayala, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1689172835
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528002956 IL Practitioner - Physician Assistant 0547524860 Reassigns benefits to 1 organization

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
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

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. Home health agency, Chicago, IL, CCN 147498
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Schwab Rehabilitation Hospital Inpatient rehabilitation facility, Chicago, IL, CCN 143025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince May 11, 2020 Accepting new patients
Access Community Health Network CurrentSince May 11, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.