Individual provider Active NPI

Michaela Rose Reinhart, PA-C

  • Physician Assistant
  • Melrose Park, IL
National Provider Identifier
1710510391
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007520 Issued in IL
Practice address
501 W North Ave Ste 103
Melrose Park, IL 60160-1677
Phone
(708) 450-5086
Fax
(708) 345-4075
NPI assigned
Feb 21, 2020
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 085007520 IL Primary

Addresses

Primary practice location

501 W North Ave Ste 103
Melrose Park, IL 60160-1677

Mailing address

501 W North Ave Ste 103
Melrose Park, IL 60160-1677
Phone (708) 450-5096

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
I20200403000235 IL Practitioner - Physician Assistant 3072942515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moore Dermatology SCGroup PAC ID 1254313984, 2 clinicians

Practice addresses (Care Compare)

501 W N Ave
Suite 103
Melrose Park, IL 60160-1677
Phone (708) 450-5086

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Tracy Campbell MD LLC Current Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

501 W North Ave
Ste 103
Melrose Park, IL 60160
Phone (708) 450-5086

9977 Woods Dr
Ste 100
Skokie, IL 60077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1710510391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W NORTH AVE STE 103",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601677",
            "telephone_number": "708-450-5096",
            "fax_number": "708-345-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W NORTH AVE STE 103",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601677",
            "telephone_number": "708-450-5086",
            "fax_number": "708-345-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHART",
        "first_name": "MICHAELA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.