Individual provider Active NPI

Christopher R Pasquale, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Palatine, IL
National Provider Identifier
1689659336
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036090469 Issued in IL
Practice address
909 E Palatine Rd
Palatine, IL 60074-5551
Phone
(847) 776-1400
Fax
(847) 776-1424
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036090469 IL Primary

Addresses

Primary practice location

909 E Palatine Rd
Palatine, IL 60074-5551

Mailing address

909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400

Other identifiers 3

IdentifierTypeStateIssuer
036090469MedicaidIL
01618781OtherILBC/BS
250005991OtherILMEDICARE RAILROAD

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address christopher.pasquale.1@15486.direct.athenahealth.com Direct
Direct Messaging Address christopher.pasquale.1@15486.direct.athenahealth.com Direct
Direct Messaging Address christopher.pasquale.1@15486.direct.athenahealth.com Direct
Direct Messaging Address christopher.pasquale.1@15486.direct.athenahealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100612000167 IL Practitioner - Physical Medicine and Rehabilitation 7517097892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Loyola University of Chicago, Stritch School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of the Midwest, S.C.Group PAC ID 4880597020, 10 clinicians

Practice addresses (Care Compare)

909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400

Hospital & facility affiliations

  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Community First Medical Center Hospital, Chicago, IL, CCN 140251
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Humboldt Park Health Hospital, Chicago, IL, CCN 140206
  • Amita Health Saints Mary and St Elizabeth Med Ctr Inpatient rehabilitation facility, Chicago, IL, CCN 14T180

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036090469ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of the Midwest, S.C. Physical Medicine & Rehabilitation CurrentSince Jul 10, 1995 Accepting new patients

Locations

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131

909 E Palatine Rd
Palatine, IL 60074
Phone (847) 776-1400

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

950 S Mulford Rd
Rockford, IL 61108
Phone (815) 381-8500

400 N County Farm Rd
Wheaton, IL 60187
Phone (630) 665-6400

Interoperability endpoints

  • Direct secure messaging: christopher.pasquale.1@15486.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1689659336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALE",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036090469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090469",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01618781",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250005991",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.pasquale.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "For Watseka, Gilman, Milford & Kentland locations",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.pasquale.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.pasquale.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.pasquale.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N 7th St",
            "city": "Kentland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479511379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.