Organization Active NPI

WK Arthritis Care LLC

  • Rheumatology Physician
  • La Grange, IL
National Provider Identifier
1043793441
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
WK ARTHRITIS CARE LLC
Practice address
5201 S. Willow Springs Road
Suite 450
La Grange, IL 60525
Phone
(716) 346-7645
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
William Kcomt, MDNPI 1710989587
Title
Owner
Phone
(716) 346-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

5201 S. Willow Springs Road
Suite 450
La Grange, IL 60525

Mailing address

1616 E 56TH St Unit 707
Chicago, IL 60637-2706
Phone (716) 346-7645

Other names 1

  • WK Arthritis Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181115000978 IL Part B Supplier - Clinic/Group Practice 5294089967 Receives reassigned benefits from 1 practitioner
Practice locations: Hinsdale, IL; Joliet, IL

National Provider Directory

National Provider Directory

Locations

310 N Hammes Ave
Ste 101B
Joliet, IL 60435
Phone (716) 346-7645

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18869/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1043793441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E 56TH ST UNIT 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372706",
            "telephone_number": "716-346-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S. WILLOW SPRINGS ROAD",
            "address_2": "SUITE 450",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "716-346-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ARTHRITIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "KCOMT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-346-7645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WK Arthritis Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WK Arthritis Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.