Individual provider Active NPI

Melva Rubi Navarro, PA-C

  • Physician Assistant
  • Aurora, IL
National Provider Identifier
1841866076
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
403 W Galena Blvd Ste 203
Aurora, IL 60506-3988
Phone
(630) 897-0091
Fax
(630) 906-9336
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 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 IL Primary

Addresses

Primary practice location

403 W Galena Blvd Ste 203
Aurora, IL 60506-3988

Mailing address

403 W Galena Blvd Ste 203
Aurora, IL 60506-3988
Phone (630) 897-0091

Other practice location 1

100 Church St S Ste A230
New Haven, CT 06519-1703
Phone (203) 737-2099

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
I20240117000651 IL Practitioner - Physician Assistant 2062864911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

245 S Gary Ave
Suite 200
Bloomingdale, IL 60108-2218
Phone (630) 893-5230

245 S Gary Ave LL
Martin T Russo
Bloomingdale, IL 60108-2228
Phone (630) 893-5230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jan 8, 2024 Accepting new patients
Access Community Health Network CurrentSince Jan 8, 2024 Accepting new patients
Valley West Medical Center, S.C. PastSince Feb 24, 2022 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

245 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 305-6301

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

Organizations & group practices 5

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1841866076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W GALENA BLVD STE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063988",
            "telephone_number": "630-897-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W GALENA BLVD STE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063988",
            "telephone_number": "630-897-0091",
            "fax_number": "630-906-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Church St S Ste A230",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191703",
            "country_code": "US",
            "telephone_number": "203-737-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "MELVA",
        "middle_name": "RUBI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.