Individual provider Active NPI

Paul Kuder, M.D.

  • Obstetrics & Gynecology Physician
  • Wilmette, IL
National Provider Identifier
1114347283
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-145710 Issued in IL
Practice address
328 Linden Ave
Wilmette, IL 60091-2895
Phone
(847) 475-1224
Fax
(847) 475-0150
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-145710 IL Primary

Addresses

Primary practice location

328 Linden Ave
Wilmette, IL 60091-2895

Mailing address

328 Linden Ave
Wilmette, IL 60091-2895
Phone (847) 475-1224

Other practice location 1

2550 Compass Rd Ste J
Glenview, IL 60026-1610
Phone (847) 998-9600

Other identifiers 1

IdentifierTypeStateIssuer
036-145710OtherILLICENSED PHYSICIAN AND SURGEON

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
I20180817002057 IL Practitioner - Obstetrics/Gynecology 2668782574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Together Women'S Health Medical Group of Illinois, PLLCGroup PAC ID 8325195506, 26 clinicians

Practice addresses (Care Compare)

328 Linden Ave
Wilmette, IL 60091-2895
Phone (847) 475-1224

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-145710ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Obstetrics & Gynecology CurrentSince Jul 23, 2018 Accepting new patients
Midwest OB/GYN & Midwifery Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 23, 2018 Accepting new patients
Together Women'S Health Medical Group of Illinois, PLLC CurrentSince Apr 23, 2024 Accepting new patients
North Shore Associates in Gynecology and Obstetrics, S.C. CurrentSince Mar 1, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Northwest Health Care Associates PastSince Jun 1, 2019 Accepting new patients

Locations

820 S Wood St
Chicago, IL 60612
Phone (312) 996-6765

900 N Kingsbury St
Ste 130N
Chicago, IL 60610
Phone (312) 775-1100

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

800 Biesterfield Rd
Ste 306
Elk Grove Vlg, IL 60007
Phone (847) 357-1144

2550 Compass Rd
Ste J
Glenview, IL 60026
Phone (847) 998-9600

Interoperability endpoints

  • Direct secure messaging: paul.kuder.1@29023.direct.athenahealth.com

Organizations & group practices 7

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 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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1114347283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Compass Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261610",
            "country_code": "US",
            "telephone_number": "847-998-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-145710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PHYSICIAN AND SURGEON",
            "identifier": "036-145710",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.