Individual provider Active NPI

Kirk Alan Hopkins, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1023156320
Registry record updated Apr 15, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 18, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036111765 Issued in IL
Practice address
1550 W 88TH St # 310
Chicago, IL 60620-4828
Phone
(773) 369-6264
Fax
(708) 897-0352
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036111765 IL Primary

Addresses

Primary practice location

1550 W 88TH St # 310
Chicago, IL 60620-4828

Mailing address

4426 S King Dr
Chicago, IL 60653-3348
Phone (773) 369-6264

Other identifiers 1

IdentifierTypeStateIssuer
036111765MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036111765ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Care Home Visiting Physicians Inc CurrentSince Feb 27, 2019 Accepting new patients
Preventative Mental Healthcare Services Past Accepting new patients
Synergos P.C. Psychiatry Past Accepting new patients

Locations

2200 E Devon Ave
Ste 100
Des Plaines, IL 60018
Phone (847) 257-7984

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1023156320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533348",
            "telephone_number": "773-369-6264",
            "fax_number": "708-897-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 88TH ST # 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204828",
            "telephone_number": "773-369-6264",
            "fax_number": "708-897-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KIRK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036111765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111765",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.