Individual provider Active NPI

Julia Kocemba, PA-C

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1851865257
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530
Phone
(847) 394-1202
Fax
(312) 263-5029
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 Primary

Addresses

Primary practice location

3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530

Mailing address

3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530
Phone (847) 394-3202

Other practice location 1

1750 N Randall Rd Ste 120
Elgin, IL 60123-7900
Phone (847) 608-6647

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
I20210907001414 IL Practitioner - Physician Assistant 6800292467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians

Practice addresses (Care Compare)

10370 Haligus Rd
Suite 109
Huntley, IL 60142-9582
Phone (847) 608-6647

1550 N Northwest Hwy
Suite 300
Park Ridge, IL 60068-1475
Phone (847) 298-1831

1750 N Randall Rd
Suite 120
Elgin, IL 60123-7900
Phone (847) 608-6647

820 E Terra Cotta Ave
Suite 125
Crystal Lake, IL 60014-3650
Phone (815) 455-7143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Skin Center LLC Past Accepting new patients
Des Plaines Dermatology, LTD. Past Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients
Mohs Surgery &Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkocemba@illinois.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00156

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851865257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041530",
            "telephone_number": "847-394-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041530",
            "telephone_number": "847-394-1202",
            "fax_number": "312-263-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 N Randall Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237900",
            "country_code": "US",
            "telephone_number": "847-608-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCEMBA",
        "first_name": "JULIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.