Individual provider Active NPI

Kimberly Remski

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1073930137
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-141615 Issued in IL
Practice address
5304 N Broadway St
Chicago, IL 60640-2312
Phone
(773) 784-2822
Fax
(773) 784-3931
NPI assigned
Mar 26, 2014
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-141615 IL Primary

Addresses

Primary practice location

5304 N Broadway St
Chicago, IL 60640-2312

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

4711 Golf Rd Ste 920
Skokie, IL 60076
Phone (855) 729-2272

Other practice location 2

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kremski220565@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161207002810 IL Practitioner - Family Practice 0143530352 Reassigns benefits to 2 organizations
I20170710001752 MI Practitioner - Family Practice 0143530352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

5304 N Broadway St
Chicago, IL 60640-2312
Phone (773) 784-2822

5308 N Broadway St
Chicago, IL 60640-2312
Phone (773) 784-2822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-141615ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 8, 2017 Accepting new patients
Iha Health Services Corporation Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 17, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 17, 2018 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2017 Accepting new patients
Iha Health Services Corporation Family Medicine Past Accepting new patients
Femhealth USA, Inc PastSince Mar 3, 2019 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2077 N Clybourn Ave
Chicago, IL 60614
Phone (773) 886-1500

29373 Network Pl
Chicago, IL 60673

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

5304 N Broadway St
Chicago, IL 60640
Phone (773) 784-2822

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

3200 W Liberty Rd
Ste C
Ann Arbor, MI 48103
Phone (734) 761-2581

4350 Jackson Rd
Ste 200
Ann Arbor, MI 48103
Phone (734) 761-2581

Interoperability endpoints

  • Direct secure messaging: kimberly.remski.1@10306.direct.athenahealth.com
  • Direct secure messaging: kremski220565@direct.myadvocateaurora.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1073930137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402312",
            "telephone_number": "773-784-2822",
            "fax_number": "773-784-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd Ste 920",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60076",
            "country_code": "US",
            "telephone_number": "855-729-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMSKI",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-141615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kremski220565@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5304 N Broadway St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606402312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5304 N Broadway St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606402312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.