Individual provider Active NPI

Kelly Klingler Newhall, M.D.

  • Allergy & Immunology Physician
  • Chicago, IL
National Provider Identifier
1104932326
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036105585 Issued in IL
Practice address
2551 N Clark St
Suite 100
Chicago, IL 60614-1798
Phone
(773) 388-2322
Fax
(773) 388-2333
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036105585 IL Primary

Addresses

Primary practice location

2551 N Clark St
Suite 100
Chicago, IL 60614-1798

Mailing address

2551 N Clark St
Suite 100
Chicago, IL 60614-1798
Phone (773) 388-2322

Other identifiers 1

IdentifierTypeStateIssuer
036105585MedicaidIL

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
I20080804000438 IL Practitioner - Allergy/Immunology 6204900640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Family Asthma and Allergy SCGroup PAC ID 7214084672, 3 clinicians

Practice addresses (Care Compare)

836 W Wellington Ave G
Suite 346
Chicago, IL 60657-5147
Phone (773) 388-2322

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Family Asthma & Allergy SC Allergy & Immunology CurrentSince Mar 9, 2009 Accepting new patients
Associated Allergists and Asthma Specialists, LTD PastSince Feb 14, 2000 Accepting new patients
Ear, Nose & Throat Specialists of Illinois LTD PastSince Jul 31, 2020 Accepting new patients

Locations

2551 N Clark St
Ste 100
Chicago, IL 60614
Phone (773) 388-2322

2551 N Clark St
#100
Chicago, IL 60614

2551 N Clark St
Ste 201
Chicago, IL 60614
Phone (773) 388-2322

836 W Wellington Ave
Ste G
Chicago, IL 60657
Phone (773) 388-2322

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEGAA/Endpoint/CIEGAA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1104932326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHALL",
        "first_name": "KELLY",
        "middle_name": "KLINGLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036105585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105585",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.