Individual provider Active NPI

Kimberly Aretha Toney, M.D

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1104876432
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036103429 Issued in IL
Practice address
7731 S Halsted St
Chicago, IL 60620-2412
Phone
(773) 962-3705
Fax
(773) 962-3703
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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 036103429 IL Primary

Addresses

Primary practice location

7731 S Halsted St
Chicago, IL 60620-2412

Mailing address

9308 S Vernon Ave
Chicago, IL 60619-7453
Phone (773) 278-5126

Other identifiers 1

IdentifierTypeStateIssuer
036103429MedicaidIL

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
I20160302001317 IL Order and Referring Only - Family PracticePractitioner - Family Practice 1456549930

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1104876432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 S VERNON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197453",
            "telephone_number": "773-278-5126",
            "fax_number": "773-409-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202412",
            "telephone_number": "773-962-3705",
            "fax_number": "773-962-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONEY",
        "first_name": "KIMBERLY",
        "middle_name": "ARETHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103429",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.