Active NPI
Tammy J Kirk, APRN
- Nurse Practitioner
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209020816
- Practice address
- 133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661 - Phone
- (331) 231-6200
- Fax
- (332) 231-6201
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209020816 | IL | Primary |
Addresses
Primary practice location
133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Mailing address
133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone (331) 231-6200
Other practice location 1
351 Delnor Dr Ste 302
Geneva, IL 60134-4222
Phone (630) 232-0280
Other practice location 2
25 N Winfield Rd Ste 500
Winfield, IL 60190-1222
Phone (630) 232-0280
Other practice location 3
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 600-0700
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700
801 S Washington St
Naperville, IL 60540-7430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Cardiovascular Institute SC | Current | Accepting new patients | |
| Cardiovascular Institute Gpe Inc | Current | Accepting new patients |
Locations
133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200
10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1992594022
-
dba Midwest Cardiovascular Institute
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1003491549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1093347171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E BRUSH HILL RD STE 202",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265661",
"telephone_number": "331-231-6200",
"fax_number": "331-231-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E BRUSH HILL RD STE 202",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265661",
"telephone_number": "331-231-6200",
"fax_number": "332-231-6201"
}
],
"practiceLocations": [
{
"address_1": "351 Delnor Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344222",
"country_code": "US",
"telephone_number": "630-232-0280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 N Winfield Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "601901222",
"country_code": "US",
"telephone_number": "630-232-0280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 S Washington St",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605407430",
"country_code": "US",
"telephone_number": "630-600-0700",
"fax_number": "630-600-0701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209020816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.