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CARLY MIROWITZ
NPI 1679090625
Physician Assistant - Medical in Chicago, IL

Active since August 29, 2017PECOS Enrolled
2418 N ASHLAND AVE, CHICAGO, IL 60614(773) 900-8330 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, May 21, 2019, Aug 29, 2017 (3 updates tracked since 2017).

About Carly Mirowitz NPPES

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

CARLY MIROWITZ (NPI 1679090625) is an individual medical provider in Chicago, Illinois, licensed in California (54747) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679090625
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARLY MIROWITZ
Location Address2418 N ASHLAND AVEChicago, IL 60614-2021
Mailing Address2418 N Ashland AveChicago, IL 60614-2021 · (773) 900-8330
Phone(773) 900-8330
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1679090625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 54747
2418 N ASHLAND AVE, Chicago, IL 60614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Mirowitz 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.

Other Providers at the Same Location NPPES 3

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

MAYSON LYN MARCY PA-C
Physician Assistant
2418 N ASHLAND AVE
CHICAGO, IL 60614
Cook County (773) 900-8330
INNOVATIVE MEDSPA PLLC
Physical Medicine & Rehabilitation
2418 N ASHLAND AVE
CHICAGO, IL 60614
Cook County (773) 900-8330
MR. ROBERT WILLIAM RADTKE III PA-C
Physician Assistant
2418 N ASHLAND AVE
CHICAGO, IL 60614
Cook County (773) 900-8330

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 Carly Mirowitz's NPI number?

The NPI number for Carly Mirowitz is 1679090625. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Carly Mirowitz located?

Carly Mirowitz practices at 2418 N Ashland Ave, Chicago, IL 60614. The listed phone number is (773) 900-8330.

What is Carly Mirowitz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carly Mirowitz enrolled in Medicare?

Yes. Carly Mirowitz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Mirowitz was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.