Individual provider Active NPI

Ayesha Amin, PA-C

  • Medical Physician Assistant
  • Lake Barrington, IL
National Provider Identifier
1841054970
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.011785 Issued in IL
Practice address
22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540
Phone
(847) 382-5080
Fax
(847) 382-0923
NPI assigned
Feb 8, 2024
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.011785 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540

Mailing address

22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080

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
I20260422000602 IL Practitioner - Physician Assistant 2466965348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rush Medical College of Rush University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Urologic Care S CGroup PAC ID 4486553369, 15 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65070CAMDDentist
085.011785ILMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: ayesha.amin.1@11920.direct.athenahealth.com

Organizations & group practices 1

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1841054970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080",
            "fax_number": "847-382-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080",
            "fax_number": "847-382-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "AYESHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.011785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.