Individual provider Active NPI

Emiliano Leal

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1902436801
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025035 Issued in CA
Practice address
5151 Church St
Skokie, IL 60077-1123
Phone
(888) 384-7769
NPI assigned
Jan 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 209020412 IL
Family Nurse Practitioner 363LF0000X 95025035 CA Primary

Addresses

Primary practice location

5151 Church St
Skokie, IL 60077-1123

Mailing address

6000 N Cicero Ave Apt 410
Chicago, IL 60646-4344
Phone (773) 234-0388

Other practice location 1

900 Ogden Ave
# 335
Downers Grove, IL 60515-2829
Phone (773) 234-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200923000387 IL Practitioner - Nurse Practitioner 4789003880 Reassigns benefits to 2 organizations
I20230811001546 CA Practitioner - Nurse Practitioner 4789003880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

San Ramon, CA 94583
Phone (801) 215-9309

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020412ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Frontier Healthcare Systems of Illinois LLC Multi-Specialty CurrentSince Nov 8, 2020 Accepting new patients
Eaves Health Partners PLLC Multi-Specialty CurrentSince Mar 20, 2022 Accepting new patients

Locations

20090 Stanton Ave
Castro Valley, CA 94546
Phone (510) 538-8464

5201 Norris Canyon Rd
Ste 220
San Ramon, CA 94583
Phone (925) 277-1900

5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584

900 Ogden Ave
Downers Grove, IL 60515
Phone (773) 234-0388

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

5151 Church St
Skokie, IL 60077
Phone (773) 436-6600

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1902436801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N CICERO AVE APT 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464344",
            "telephone_number": "773-234-0388",
            "fax_number": "773-234-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123",
            "telephone_number": "888-384-7769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 OGDEN AVE",
            "address_2": "# 335",
            "address_purpose": "LOCATION",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152829",
            "country_code": "US",
            "telephone_number": "773-234-0388",
            "fax_number": "773-234-0394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "EMILIANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209020412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.