KARL ROI FONTELO CALINGACION NP-C
NPI 1598410375
Nurse Practitioner - Gerontology in Lincolnwood, IL

Q: What is Karl Roi Calingacion's NPI number?

The NPI number for Karl Roi Calingacion is 1598410375. It was assigned to this individual provider in the NPPES registry on February 19, 2022.

Q: What is Karl Roi Calingacion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since February 19, 2022PECOS EnrolledAccepts Medicare Assignment

7380 N LINCOLN AVE, LINCOLNWOOD, IL 60712(847) 568-7400 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2022, Feb 19, 2022 (2 updates tracked since 2022).

On this page

About Karl Roi Fontelo Calingacion Np-c NPPES

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

KARL ROI FONTELO CALINGACION NP-C (NPI 1598410375) is an individual gerontology provider in Lincolnwood, Illinois, licensed in Illinois (209024750) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1598410375

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameKARL ROI FONTELO CALINGACIONCredential: NP-C

Location Address7380 N LINCOLN AVELincolnwood, IL 60712-1705

Mailing Address7380 N Lincoln AveLincolnwood, IL 60712-1705 · (847) 568-7400

Phone(847) 568-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 19, 2022

Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration

NPPES CertifiedMarch 13, 2024

✔ NPI 1598410375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209024750

7380 N LINCOLN AVE, Lincolnwood, IL 60712

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karl Roi Fontelo Calingacion Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789079450

PECOS Enrollment IDI20220315002347

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.

Medicare Billing Reassignments

Medicare enrollment records show Karl Roi Calingacion reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitae Health Medical Illinois, PLLC

1.7 mi

Internal Medicine

3450 OAKTON ST
Skokie, IL 60076

Reassigned Medicare billing, Illinois enrollment
491 clinicians in this Medicare group

NPI 1174013452 (224) 777-8034

Prime Healthcare Illinois Medical Group LLC

6.5 mi

Multi-Specialty

2380 E DEMPSTER ST
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
443 clinicians in this Medicare group

NPI 1023837689 (833) 291-0464

Midwest Post Acute Care PLLC

7.2 mi

Nurse Practitioner

3000 N HALSTED ST STE 803
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
129 clinicians in this Medicare group

NPI 1083012074 (888) 705-8722

Sound Physicians Of Illinois, LLC

266 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Illinois enrollment
419 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

111 services101 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services47 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

28 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60712 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 8

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

DAVID PIKE MD

Internal Medicine