Individual provider Active NPI

Sonya Kenkare, M.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1043508724
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
125.058344 Issued in IL
Practice address
5841 S Maryland Ave
MC 5067
Chicago, IL 60637-1447
Phone
(773) 702-1611
NPI assigned
Jul 15, 2011
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 125.058344 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
MC 5067
Chicago, IL 60637-1447

Mailing address

5841 S Maryland Ave
MC 5067
Chicago, IL 60637-1447
Phone (773) 702-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820002178 IL Practitioner - Dermatology 7719105576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians

Practice addresses (Care Compare)

901 N Elm St
Suite 250
Hinsdale, IL 60521-3647
Phone (630) 325-6880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions330
Removal or shaving of skin growth1-10
Skin biopsy89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.058344ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Rush University Medical Group Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Little Company of Mary Affiliated Services Inc CurrentSince Jun 12, 2017 Accepting new patients
Rush University Medical Center Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 264
Chicago, IL 60612
Phone (312) 942-2195

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

539 N Dearborn St
Chicago, IL 60654
Phone (312) 549-4400

75 Remittance Dr
Dept 1611
Chicago, IL 60675

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

Interoperability endpoints

  • Direct secure messaging: skenkare@illinois.emadirect.md
  • Direct secure messaging: skenkare163913@direct.rush.rush-health.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1043508724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 5067",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 5067",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENKARE",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125.058344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.