Mary L Pryka, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209004174 Issued in IL

Practice address

8915 W Golf Rd
Niles, IL 60714-5905

Phone

(847) 827-9060

Fax

(847) 827-7196

NPI assigned

Oct 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1892/brand/1/csg/1/fhir/r4
• Direct secure messaging: mary.pryka@ics.ikm.direct-ci.com

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.

• Arlington Heights Internal Medicine SC

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1346363876
  NPD (past)
• Northwest ENT Associates, S.C.

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1144331208
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1972590719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731250",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145905",
            "telephone_number": "847-827-9060",
            "fax_number": "847-827-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYKA",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "208179",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.pryka@usoncology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8915 W Golf Rd",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607145905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mary.pryka@usoncology.com",
            "affiliation": "N",
            "address_1": "8915 W Golf Rd",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607145905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mary.pryka@usoncology.com",
            "affiliation": "N",
            "address_1": "8915 W Golf Rd",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607145905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priya Shah DDS PLLC
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• Quickcare Diagnostics LLC
• Quintessence Quiver LLC
• Marzena Rafalo, ND
• Rakhee Rajan

• Nurse Practitioner in Niles, IL
• Providers in Niles, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.