FORTESA MYHA PA
NPI 1366794190
Physician Assistant in Elk Grove Village, IL

Q: What is Fortesa Myha's NPI number?

The NPI number for Fortesa Myha is 1366794190. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Q: What is Fortesa Myha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fortesa Myha was last updated on December 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2012PECOS Enrolled

800 BIESTERFIELD RD STE G01, ELK GROVE VILLAGE, IL 60007(847) 981-3680(847) 956-5122 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2017, Nov 16, 2017 (2 updates tracked since 2017).

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About Fortesa Myha Pa NPPES

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

FORTESA MYHA PA (NPI 1366794190) is an individual physician assistant in Elk Grove Village, Illinois, licensed in Illinois (085006125) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366794190

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameFORTESA MYHACredential: PA

Location Address800 BIESTERFIELD RD STE G01Elk Grove Village, IL 60007-3372

Mailing Address900 S Frontage Rd Ste 325Woodridge, IL 60517-4907 · (630) 972-8228 · Fax (630) 972-8229

Phone(847) 981-3680

Fax(847) 956-5122

Sole ProprietorYes

Enumeration DateOctober 3, 2012

Last NPPES UpdateDecember 8, 20172 updates tracked since enumeration

✔ NPI 1366794190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085006125

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.

800 BIESTERFIELD RD STE G01, Elk Grove Village, IL 60007

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Other Identifiers 2

Other1720371669IL · Group Practice Npi

OtherDS2377IL · Rrmc Group Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortesa Myha Pa 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 60007 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.

CARDIOVASCULAR ASSOCIATES, S.C.

Internal Medicine (Cardiovascular Disease)