Individual provider Active NPI

Paola Molina, M.D

  • Internal Medicine Physician
  • Joliet, IL
National Provider Identifier
1720248313
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT186428 Issued in PA
Practice address
250 Water Stone Cir
Joliet, IL 60431-8313
Phone
(847) 381-5599
NPI assigned
Jun 17, 2008
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT186428 PA Primary

Addresses

Primary practice location

250 Water Stone Cir
Joliet, IL 60431-8313

Mailing address

204 Fiala Woods CT
Naperville, IL 60565-6369
Phone (570) 854-8113

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
I20091015000615 IL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0941346332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186428PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Hospice and Palliative Care, Inc. CurrentSince Dec 11, 2020 Accepting new patients
Journeycare, Inc. Past Accepting new patients

Locations

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

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, 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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1720248313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FIALA WOODS CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656369",
            "telephone_number": "570-854-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "847-381-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT186428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.