Amalia Maria Prodanovic
NPI 1396235792ActiveIndividual· Physician Assistant· Lake Forest, IL
Physician Assistant with Northwestern Medical Faculty Foundation, practicing in Lake Forest, Illinois. In 2024 Medicare paid $41,283 for 209 patients, and Part D covered 107 of their prescriptions, 76% of them generic. Lists Northwestern Lake Forest Hospital as a hospital affiliation.
Overview
| NPI | 1396235792 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 11, 2018 |
| Last updated in NPPES | Nov 6, 2025 |
| Certified by provider | Nov 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 08500646 | IL |
| Physician Assistant | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 766 across 11 procedure codes |
| Paid by Medicare | $41,283 |
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 133 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $11,876 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Lake Forest HospitalLake Forest, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 69 physician assistants in Lake Forest · All physician assistants in Illinois