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Mallory Catherine Roushar , PA

Physician Assistant β€’ Chicago, IL

Active NPI 1912791385 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5841 S Maryland Ave
Chicago, IL 606371443

Call 8888240200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5841 S Maryland Ave

Chicago, IL 606371443

Telephone 8888240200
Organization at the Same NPPES Address or Phone
University Of Chicago Facility NPI 1821048786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Baton Rouge, LA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: The University Of Chicago Medical Center; University Of Chicago. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mallory Roushar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mallory Roushar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

1,446 active clinicians are listed under Physician Assistant with a practice address in Chicago, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

17.4% of these 1,446 clinicians have the CMS telehealth indicator.

63.6% of these 1,446 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085011468

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250924001599

Enrollment State Jurisdiction

IL

PECOS Control ID

3577068253

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Of Chicago

950 E 61st St, Chicago, IL 606372654

Phone: 7737023095

University Of Chicago

5841 S Maryland Ave, Chicago, IL 606371443

Phone: 8888240200

The University Of Chicago Medical Center

5841 S Maryland Ave, Chicago, IL 606371443

Phone: 7737021000

University Of Chicago

5758 S Maryland Ave, Chicago, IL 606371426

Phone: 7737023384

Secondary Practice Locations

1972 Cherrydale Ave

Baton Rouge, LA 708082815

Phone: 5178831008

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Calvin Adatsi

Nurse Practitioner - Family

NPI 1033767082
Ayman Al-Hendy

Obstetrics & Gynecology

NPI 1023184637
Stephen Bennett

Family Medicine

NPI 1013978766
Paul Chang

Radiology - Diagnostic Radiology

NPI 1023080983
Michael Davidson

Internal Medicine - Cardiovascular Disease

NPI 1023033321
Alexandra Dumitrescu

Internal Medicine

NPI 1003078049

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 11, 2025

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371443 (Tel: 8888240200)

πŸ“
Updated Business Mailing Address September 11, 2025

Registered at 150 HARVESTER DR STE 300, BURR RIDGE, IL 605275965

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Physician Assistant (license number reported to NPPES: IL 085011468)

βœ…
NPI Profile Active April 08, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2025

Registered at 1972 CHERRYDALE AVE, BATON ROUGE, LA 708082815 (Tel: 5178831008)

πŸ“
Business Mailing Address (Initial Record) April 08, 2025

Registered at 1972 CHERRYDALE AVE, BATON ROUGE, LA 708082815 (Tel: 5178831008)

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2025

Recorded as MALLORY ROUSHAR, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 08, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912791385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2025
Last Update: September 11, 2025
Sole Proprietor: Yes

Other Physician Assistants in Chicago

All Physician Assistants in Chicago

Mailing Address

150 Harvester Dr Ste 300

Burr Ridge, IL 605275965

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.