ACTIVE HEALTH LTD
NPI 1104199983
Chiropractor in Park Ridge, IL
About Active Health Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE HEALTH LTD (NPI 1104199983) is a healthcare organization registered as a chiropractor in Park Ridge, Illinois and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists John N Panopoulos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Health Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Health Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2116287
Active Health Ltd · Park Ridge, ILFrequently 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 Active Health Ltd's NPI number?
The NPI number for Active Health Ltd is 1104199983. It was assigned to this organization in the NPPES registry on February 9, 2012.
Where is Active Health Ltd located?
Active Health Ltd is located at 1550 N Northwest Hwy Ste 206, Park Ridge, IL 60068. The listed phone number is (847) 739-3120.
What is Active Health Ltd's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Active Health Ltd enrolled in Medicare?
Yes. Active Health Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Health Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Active Health Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Active Health Ltd hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2116287) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Active Health Ltd was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Active Health Ltd · NPI 1104199983
Chiropractor organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since February 9, 2012.
## Identity
- **NPI:** 1104199983 (Entity type: Organization)
- **Enumerated:** February 9, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** John Panopoulos, PRESIDENT
## Practice location
- **Address:** 1550 N NORTHWEST HWY STE 206, Park Ridge, IL 60068-1459
- **Phone:** (847) 739-3120 · **Fax:** (847) 886-4025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104199983) · Data from the CMS NPPES public registry.