Individual provider Active NPI

Cristiane Megumi Hayato Unseth, PA-C

  • Surgical Physician Assistant
  • Kildeer, IL
National Provider Identifier
1942945332
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
085009181 Issued in IL
Practice address
21481 N. Rand Rd.
Kildeer, IL 60047-3061
Phone
(847) 866-7846
NPI assigned
May 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085009181 IL
Surgical Physician Assistant 363AS0400X 085009181 IL Primary

Addresses

Primary practice location

21481 N. Rand Rd.
Kildeer, IL 60047-3061

Mailing address

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 881-5777

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
I20221025001285 IL Practitioner - Physician Assistant 3476929936 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085009181ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP CurrentSince Oct 14, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 14, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

9532 Eagle Way
Chicago, IL 60678

1535 Ellinwood Ave
Des Plaines, IL 60016
Phone (773) 570-3337

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

21481 N Rand Rd
Kildeer, IL 60047
Phone (847) 618-9696

Organizations & group practices 5

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical Group 3,330 clinicians

Practice addresses (Care Compare)

1535 Ellinwood Ave
Des Plaines, IL 60016-4553
Phone (224) 364-2273

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 618-9696

2650 Ridge Ave
Evanston, IL 60201-1700

3060 W Salt Creek LN
Arlington Heights, IL 60005-1069

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1942945332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21481 N RAND RD",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600473061",
            "telephone_number": "847-881-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21481 N. RAND RD.",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600473061",
            "telephone_number": "847-866-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYATO UNSETH",
        "first_name": "CRISTIANE",
        "middle_name": "MEGUMI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009181",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085009181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kildeer, IL

Sources for this page

Verify at the official NPI Registry.