Patricia A Larson, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036050093 Issued in IL

Practice address

901 Biesterfield Rd Ste 213
Elk Grove Village, IL 60007

Phone

(847) 690-9767

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Infectious Disease

Education

Northwestern University Feinberg Medical School, 1973

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Mobile Wound Care LLCGroup PAC ID 4183110646, 2 clinicians

Id Associates LimitedGroup PAC ID 8820354616, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Advanced Mobile Wound Care LLC

  • Podiatrist
  • Elgin, IL
  • NPI 1396624391
  Medicare reassignment Care Compare group NPD
• Id Associates Limited

  • Infectious Disease Physician
  • Oak Brook, IL
  • NPI 1699201582
  Medicare reassignment Care Compare group NPD
• Heal at Home LLC

  • Infectious Disease Physician
  • South Elgin, IL
  • NPI 1952110066
  Medicare reassignment NPD
• Wound Treatment Services of America,LLC

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1104830058
  NPD (past) Authorized official
• VHS Acquisition Subsidiary Number 3 Inc

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1922060938

  Internal Medicine

  NPD (past)
• Wound Treatment Service of America LLC

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1477608164
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1750300091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601430529",
            "telephone_number": "847-981-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD STE 213",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-690-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036050093",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036050093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "212087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01633976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Scott Landers, O.T.C.
• Ernest John Laney IV, MD
• Bhranti Chintan Langaliya, M.D.
• Lia Lapat, RN
• William Larsen
• Megan Latelle, DPT
• Cindy Laureano-Martinez
• Alexander G Lawson
• Haydee Lazala
• Brian J Leahy, PHD

• Infectious Disease Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.