Jacob A Klaustermeier (NPI# 1952560443, PAC ID# 4587730122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952560443 |
| PAC ID by PECOS | 4587730122 |
| Professional Enrollment ID | I20080905000462 |
| Full Name | Jacob A Klaustermeier |
| Organization Legal Name | SULEMAN J BANGASH DOSC |
| Address |
820 E Terra Cotta Ave Suite 125 Crystal Lake IL 60014-3650 |
| Phone Number | 8154557143 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729165006 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 | 8154557143 | SULEMAN J BANGASH DOSC |
| 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 | 8476086647 | SULEMAN J BANGASH DOSC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 88% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 99% |
| Organization Legal Name | SULEMAN J BANGASH DOSC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Conway | Dermatology | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| John W Cox | Dermatology | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Ashley Jansen | Physician Assistant | Suleman J Bangash Dosc | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 |
| Denise A Mcnatt | Physician Assistant | Suleman J Bangash Dosc | 901 Biesterfield Rd, Suite 209, Elk Grove Village, IL 60007-7300 |
| Robert B Polisky | Dermatology | Suleman J Bangash Dosc | 901 Biesterfield Rd, Suite 209, Elk Grove Village, IL 60007-7300 |
| Tamara A Pride | Physician Assistant | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Kathleen Guerra | Physician Assistant | Suleman J Bangash Dosc | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 |
| Chelsy R Conrad | Physician Assistant | Suleman J Bangash Dosc | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 |
| Street Address |
820 E TERRA COTTA AVE SUITE 125 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60014-3650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Conway | Dermatology | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Mark Joseph Mckim | Chiropractic | 820 E Terra Cotta Ave, Suite 141, Crystal Lake, IL 60014-3634 | |
| John W Cox | Dermatology | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Islamiat O Ego-osuala | Diagnostic Radiology | Progressive Radiology of Illinois LLC | 820 E Terra Cotta Ave, Suite 136, Crystal Lake, IL 60014-3650 |
| Tamara A Pride | Physician Assistant | Suleman J Bangash Dosc | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Vikram K Sobti | Diagnostic Radiology | Progressive Radiology of Illinois LLC | 820 E Terra Cotta Ave, Suite 136, Crystal Lake, IL 60014-3650 |
| Carrie S Sypherd | Optometry | 820 E Terra Cotta Ave, Suite 256, Crystal Lake, IL 60014-3655 | |
| Quenby Lea Erickson | Dermatology | Suleman J. Bangash D.o.s.c. | 820 E Terra Cotta Ave, Suite 125, Crystal Lake, IL 60014-3650 |
| Jeffrey Ian Scott | Optometry | Behavioral Vision, Ltd. | 820 E Terra Cotta Ave, Crystal Lake, IL 60014-3655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
| Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
| Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
| Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
| Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Find all physicians in zip 60014 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CRYSTAL LAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob A Klaustermeier.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.