CAROLINE KELLEHER PA
NPI 1932855269
Physician Assistant in Chicago, IL

Q: What is Caroline Kelleher's NPI number?

The NPI number for Caroline Kelleher is 1932855269. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Q: What is Caroline Kelleher'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 Caroline Kelleher was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 since February 24, 2022PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST STE 400, CHICAGO, IL 60612(877) 632-6637(708) 409-5179 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Feb 24, 2022 (2 updates tracked since 2022).

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About Caroline Kelleher Pa NPPES

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

CAROLINE KELLEHER PA (NPI 1932855269) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085008984) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Munster, and is a graduate of Tufts University School Of Medicine (2022).

NPPES Registry Identity

NPI1932855269

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE KELLEHERCredential: PA

Location Address1611 W HARRISON ST STE 400Chicago, IL 60612-4861

Mailing Address1611 W Harrison St Ste 400Chicago, IL 60612-4861 · (877) 632-6637 · Fax (708) 409-5179

Phone(877) 632-6637

Fax(708) 409-5179

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2022

Enumeration DateFebruary 24, 2022

Last NPPES UpdateJune 16, 20232 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1932855269 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 · 085008984✔ Licensed in IN · 10003877A

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.

1611 W HARRISON ST STE 400, Chicago, IL 60612

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Secondary Practice Location 1

Location 19200 Calumet Ave Ste 300Munster, IN 46321-2885 · Phone (877) 632-6637 · Fax (708) 409-5179

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Kelleher Pa 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 ID5698155968

PECOS Enrollment IDI20220704000311, I20221220002142

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.

Areas of Expertise CMS Part B claims 5

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.

74 services67 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

46 services40 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

29 services26 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

20 services20 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

DR. CHIZITAM IBEZIM MD

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