Individual provider Active NPI

Agata Natalia Pluzyczka, D.O.

  • Family Medicine Physician
  • Evanston, IL
National Provider Identifier
1962763276
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136936 Issued in IL
Practice address
800 Austin St
West Tower, Suite 505
Evanston, IL 60202-3439
Phone
(847) 733-1495
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036136936 IL Primary

Addresses

Primary practice location

800 Austin St
West Tower, Suite 505
Evanston, IL 60202-3439

Mailing address

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440-4707
Phone (630) 914-2468

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apluzyczka310051@direct.myadvocateaurora.org Direct
FHIR URL https:EpicFHIR.aurora.org/FHIR/MyAURORA/api/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223001863 IL Practitioner - Family PracticePractitioner - Other (Physician) 9638453319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

87 N Airlite St
Suite 130
Elgin, IL 60123-4991
Phone (847) 888-3361

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Empower Home Health Services Home health agency, West Dundee, IL, CCN 147852
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Aug 16, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 16, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1435 N Randall Rd
Ste 301
Elgin, IL 60123
Phone (847) 841-7138

87 N Airlite St
Ste 130
Elgin, IL 60123
Phone (847) 888-3661

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

Interoperability endpoints

  • Direct secure messaging: apluzyczka310051@direct.myadvocateaurora.org

Organizations & group practices 2

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 5

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1962763276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "telephone_number": "630-914-2468",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "WEST TOWER, SUITE 505",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-733-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUZYCZKA",
        "first_name": "AGATA",
        "middle_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apluzyczka310051@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "87 N Airlite St Ste 130",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:EpicFHIR.aurora.org/FHIR/MyAURORA/api/",
            "affiliation": "N",
            "address_1": "87 N Airlite St Ste 130",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.