ARIELLE DOUGLAS PHYSICIAN ASSISTANT
NPI 1093216855
Physician Assistant in Chicago, IL

Active since February 26, 2018PECOS Enrolled
2800 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 764-7488 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2021, Jul 20, 2020, Aug 21, 2019 and 1 more (4 updates tracked since 2018).

About Arielle Douglas Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIELLE DOUGLAS PHYSICIAN ASSISTANT (NPI 1093216855) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.006499) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1093216855
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameARIELLE DOUGLASCredential: PHYSICIAN ASSISTANT
Location Address2800 S CALIFORNIA AVEChicago, IL 60608-5107
Mailing Address2800 S California AveChicago, IL 60608-5107
Sole ProprietorNo
Enumeration DateFebruary 26, 2018
Last NPPES UpdateApril 23, 20214 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
NPI 1093216855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085.006499 Licensed in TX · PA11748
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2800 S CALIFORNIA AVE, Chicago, IL 60608

Other Names 1

Professional Name (2)Arielle Kowenski Physician Assistant

Secondary Practice Location 1

Location 11406 N North Park Ave Unit 2Chicago, IL 60610-1227 · Phone (713) 398-4191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Arielle Douglas Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Family Medicine
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Psychologist (Clinical)
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Physician Assistant (Medical)
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Psychologist (Clinical)
2800 S CALIFORNIA AVE, CERMAK HEALTH SERVICES
CHICAGO, IL 60608
Rehabilitation Unit
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Internal Medicine
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Family Medicine
2800 S CALIFORNIA AVE, MED/SURG OFFICE
CHICAGO, IL 60608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arielle Douglas's NPI number?

The NPI number for Arielle Douglas is 1093216855. It was assigned to this individual provider in the NPPES registry on February 26, 2018. The provider is also known as Arielle Kowenski Physician Assistant.

Where is Arielle Douglas located?

Arielle Douglas practices at 2800 S California Ave, Chicago, IL 60608. The listed phone number is (773) 764-7488.

What is Arielle Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Arielle Douglas enrolled in Medicare?

Yes. Arielle Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Arielle Douglas was last updated on April 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.