Individual provider Active NPI

Kalinee Hansen Alston, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1851985824
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.008778 Issued in IL
Practice address
2001 S California Ave Ste 100
Chicago, IL 60608-2486
Phone
(773) 584-6200
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 085.008778 IL Primary

Addresses

Primary practice location

2001 S California Ave Ste 100
Chicago, IL 60608-2486

Mailing address

1221 Hull Ter Apt 3D
Evanston, IL 60202-3271
Phone (801) 913-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230816001414 TX Practitioner - Physician Assistant 1658768627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

3535 S I35 Frontage Rd
Denton Regional Medical Center
Denton, TX 76210-3535
Phone (940) 384-3535

5252 W University Dr
Highway 380 at Lake Forest
McKinney, TX 75071-7822
Phone (972) 596-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.008778ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Radiology Associates LLP CurrentSince Aug 23, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1820 Preston Park Blvd
Ste 2400
Plano, TX 75093

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1851985824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HULL TER APT 3D",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023271",
            "telephone_number": "801-913-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "KALINEE",
        "middle_name": "HANSEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.008778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.