Active NPI
Kevin Randall Wright, PA-C
- Surgical Physician Assistant
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 085002508
- Practice address
- 1200 S York St Ste 2000
Elmhurst, IL 60126-5634 - Phone
- (630) 646-7000
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 085002508 | IL | Primary |
| Physician Assistant | 363A00000X | 085002508 | IL |
Addresses
Primary practice location
1200 S York St Ste 2000
Elmhurst, IL 60126-5634
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Other practice location 1
120 Spalding Dr Ste 400
Naperville, IL 60540-6559
Phone (630) 967-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085002508 | Medicaid | IL | |
| P00297120 | Other | IL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwright26578@dulyhealthandcare.direct-ci.com |
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
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200
1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Edward Hospital
- Elmhurst Memorial Hospital
- Northshore University Healthsystem - Evanston Hospital
- Northwest Community Hospital 1
- Northern Nevada Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085002508 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
9532 Eagle Way
Chicago, IL 60678
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
4115 Fairview Ave
Downers Grove, IL 60515
Phone (630) 968-1881
1200 S York St
Ste 2000
Elmhurst, IL 60126
Phone (331) 221-9002
1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
120 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 967-2225
120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575
120 Spalding Dr
Ste 120
Naperville, IL 60540
1259 Rickert Dr
Ste 101
Naperville, IL 60540
Phone (630) 355-1300
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- kwright183121@direct.nch.org
- kwright22068@direct.edward.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1104813849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S YORK ST STE 2000",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265634",
"telephone_number": "630-646-7000"
}
],
"practiceLocations": [
{
"address_1": "120 Spalding Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605406559",
"country_code": "US",
"telephone_number": "630-967-2225",
"fax_number": "630-355-3273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "KEVIN",
"middle_name": "RANDALL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085002508",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085002508",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085002508",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00297120",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwright26578@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "120 Spalding Dr Ste 400",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406559",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 26, 2026; 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.