Individual provider Active NPI

David Avina, P.A.

  • Physician Assistant
  • Elmhurst, IL
National Provider Identifier
1730569807
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006076 Issued in IL
Practice address
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone
(773) 750-2003
NPI assigned
Jun 4, 2015
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 085006076 IL Primary

Addresses

Primary practice location

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

Mailing address

520 S Maple Ave
Oak Park, IL 60304-1022

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
I20170426000176 IL Practitioner - Physician Assistant 7719264944 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

130 S Main St
Lombard, IL 60148-2670

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

2650 Ridge Ave
Evanston, IL 60201-1700

303 W Lake St
Suite 301
Addison, IL 60101-2565
Phone (331) 221-4300

6701 US Hwy 34
Oswego, IL 60543-9129
Phone (630) 646-4255

8 Salt Creek LN
Hinsdale, IL 60521-2903

932 Lake St
Oak Park, IL 60301-1204
Phone (630) 527-3645

Hospital & facility affiliations

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
Edward Hospital CurrentSince Mar 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Edward Health Ventures CurrentSince Mar 13, 2023 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Edward Hospital CurrentSince Mar 1, 2023 Accepting new patients
Edward Health Ventures CurrentSince Mar 13, 2023 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

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

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

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

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • Direct secure messaging: davina133144@direct.rush.rush-health.com
  • Direct secure messaging: davina257826@direct.edward.org
  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1730569807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAPLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "773-750-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINA",
        "first_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.