NPIMap

Individual provider Active NPI

Karissa Leeann Monney, MD

  • Family Medicine Physician
  • Sandwich, IL
National Provider Identifier
1891175576
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144121 Issued in IL
Practice address
1310 N Main St Ste 200
Sandwich, IL 60548
Phone
(815) 786-3770
NPI assigned
Jun 8, 2015
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 125066758 IL
Family Medicine Physician 207Q00000X 036144121 IL Primary

Addresses

Primary practice location

1310 N Main St Ste 200
Sandwich, IL 60548

Mailing address

1310 N Main St Ste 200
Sandwich, IL 60548-1395
Phone (815) 786-3770

Other practice location 1

135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001311 IL Practitioner - Family Practice 1557635372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1310 N Main St
Sandwich, IL 60548-1394
Phone (815) 786-3770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Oct 1, 2017 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central Dupage Hospital Association CurrentSince Oct 1, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2018 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1310 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

1310 N Main St
Ste 200
Sandwich, IL 60548
Phone (815) 786-7150

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1891175576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 200",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481395",
            "telephone_number": "815-786-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 200",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "60548",
            "telephone_number": "815-786-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213860",
            "country_code": "US",
            "telephone_number": "630-856-8900",
            "fax_number": "630-856-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONNEY",
        "first_name": "KARISSA",
        "middle_name": "LEEANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125066758",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.