Active NPI
Karen Louise Eisele, DO
- Family Medicine Physician
- Yorkville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036136166
- Practice address
- 76 W Countryside Pkwy
Yorkville, IL 60560-1967 - Phone
- (630) 553-2722
- Fax
- (630) 553-3983
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036136166 | IL | Primary |
Addresses
Primary practice location
76 W Countryside Pkwy
Yorkville, IL 60560-1967
Mailing address
76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone (630) 553-2722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keisele48969@direct.edward.org | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone (630) 553-2722
Hospital & facility affiliations
- Home Touch Healthcare, Inc
- Edward Hospital
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Edward Health Ventures | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Family Medicine | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200
Interoperability endpoints
- keisele48969@direct.edward.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Family Medicine
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- Family Medicine Physician
- Sandwich, IL
- NPI 1316183551
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- Home Health Agency
- Plainfield, IL
- NPI 1508191230
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1790047710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 W COUNTRYSIDE PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601967",
"telephone_number": "630-553-2722",
"fax_number": "630-553-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 W COUNTRYSIDE PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601967",
"telephone_number": "630-553-2722",
"fax_number": "630-553-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISELE",
"first_name": "KAREN",
"middle_name": "LOUISE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036136166",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keisele48969@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "76 W Countryside Pkwy",
"city": "Yorkville",
"state": "IL",
"country_code": "US",
"postal_code": "605601967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.