Individual provider Active NPI

Maria Magdalena Colta

  • Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1912662651
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209024371 Issued in IL
Practice address
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone
(847) 618-1000
NPI assigned
Nov 8, 2021
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024371 IL Primary
Family Nurse Practitioner 363LF0000X 209.024371 IL
Registered Nurse 163W00000X 041460053 IL

Addresses

Primary practice location

800 W Central Rd
Arlington Heights, IL 60005-2349

Mailing address

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-6575

Other identifiers 1

IdentifierTypeStateIssuer
209024371OtherILSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcolta@nch.org Direct
Direct Messaging Address mcolta147254@direct.nch.org

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
I20211216002295 IL Practitioner - Nurse Practitioner 8426449935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Cancer SpecialistsGroup PAC ID 5597665752, 26 clinicians

Practice addresses (Care Compare)

880 W Central Rd
Suite 8200
Arlington Heights, IL 60005-2380
Phone (847) 259-4482

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041460053ILMDRegistered Nurse
209024371ILMDNurse Practitioner
209.024371ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Illinois, LLC CurrentSince Sep 2, 2022 Accepting new patients
Northwest Community Health Services Inc Nurse Practitioner CurrentSince Dec 16, 2021 Accepting new patients
Illinois Cancer Specialists CurrentSince May 1, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Dec 16, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 15, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 15, 2022 Accepting new patients
Illinois Cancer Specialists CurrentSince May 1, 2023 Accepting new patients

Locations

880 W Central Rd
Ste 8200
Arlington Heights, IL 60005
Phone (847) 259-4482

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

25233 Network Pl
Chicago, IL 60673

2601 Compass Rd
Ste 140
Glenview, IL 60026
Phone (224) 803-2292

2820 S Highland Ave
Ste C
Lombard, IL 60148
Phone (630) 332-8235

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444

1033 E Woodfield Rd
Schaumburg, IL 60173
Phone (224) 803-2292

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: mcolta147254@direct.nch.org

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 2

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1912662651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-6575",
            "fax_number": "847-618-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTA",
        "first_name": "MARIA",
        "middle_name": "MAGDALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024371",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024371",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041460053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209024371",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcolta@nch.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 W Central Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcolta147254@direct.nch.org",
            "affiliation": "N",
            "address_1": "800 W Central Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.