Active NPI
Kevin Patrick Haas, MD
- Pulmonary Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036129156
- Practice address
- 840 S Wood St # Mc719
Chicago, IL 60612-4325 - Phone
- (312) 996-8039
- Fax
- (312) 996-4465
- NPI assigned
- Apr 14, 2009
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2015016376 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 036129156 | IL | Primary |
Addresses
Primary practice location
840 S Wood St # Mc719
Chicago, IL 60612-4325
Mailing address
840 S Wood St # Mc719
Chicago, IL 60612-4325
Phone (312) 996-8039
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 W Taylor St
Chicago, IL 60612-7232
1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-6590
2600 S Michigan Ave
Suite 205
Chicago, IL 60616-2857
Phone (312) 949-9199
845 W Wilson Ave
Uic Medicine
Chicago, IL 60640-8090
Phone (312) 744-1295
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Pulmonary Disease | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
840 S Wood St
#719
Chicago, IL 60612
Phone (312) 996-8039
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
7732 Solutions Ctr
Chicago, IL 60677
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Interoperability endpoints
- khaas17087@uihealth.direct-ci.com
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1609094739
Pulmonary Disease
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459641600000",
"number": "1154564607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S WOOD ST # MC719",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "312-996-8039",
"fax_number": "312-996-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S WOOD ST # MC719",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "312-996-8039",
"fax_number": "312-996-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2016-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2015016376",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036129156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.