Individual provider Active NPI

Mara Endoy, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1881646867
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209004922 Issued in IL
Practice address
1501 S California Ave
Chicago, IL 60608-1732
Phone
(773) 257-6770
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209004922 IL Primary
Nurse Practitioner 363L00000X 209-004922 IL

Addresses

Primary practice location

1501 S California Ave
Chicago, IL 60608-1732

Mailing address

1501 S California Ave
Chicago, IL 60608-1732
Phone (773) 257-6770

Other identifiers 1

IdentifierTypeStateIssuer
209-004922OtherILAPN LICENSE

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
I20050525000825 IL Practitioner - Nurse Practitioner 3173565538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.68 of 100Reported as group
Quality
77.6
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-004922ILMDNurse Practitioner
209004922ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Community Foundation CurrentSince Mar 26, 2016 Accepting new patients
Radial Health SC CurrentSince Mar 1, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Mar 26, 2016 Accepting new patients

Locations

26895 Network Pl
Chicago, IL 60673

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

5336 N Western Ave
Chicago, IL 60625
Phone (773) 271-5600

4900 N Bernard St
Chicago, IL 60625
Phone (773) 583-7130

2450 N Central Ave
Chicago, IL 60639
Phone (773) 889-1333

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

2000 W Lake St
Hanover Park, IL 60133
Phone (224) 456-6662

10501 Emilie Ln
Orland Park, IL 60467
Phone (708) 226-1800

22660 Cicero Ave
Richton Park, IL 60471
Phone (708) 636-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1881646867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDOY",
        "first_name": "MARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209004922",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-004922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "209-004922",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.