NPIMap

Organization Active NPI

Kidney and Hypertension Consultants, S.C.

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1255453528
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
042.617788 036.08684 Issued in IL
Legal business name
KIDNEY AND HYPERTENSION CONSULTANTS, S.C.
Practice address
7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704
Phone
(773) 763-8400
Fax
(773) 774-8085
NPI assigned
Apr 6, 2007
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Lynn Michelle AndersonNPI 1578541876
Title
Physician
Phone
(773) 763-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 042.617788 036.08684 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704

Mailing address

7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704
Phone (773) 763-8400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address daivavalaitis@direct.practicefusion.com Health Information Exchange (HIE)
Direct Messaging Address lynnanderson@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000003 IL Part B Supplier - Clinic/Group Practice 7911896204 Receives reassigned benefits from 6 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

7447 W Talcott Ave
Ste 3425
Chicago, IL 60631

7447 W Talcott Ave
Ste 425
Chicago, IL 60631
Phone (773) 763-1818

7447 W Talcott Ave
Ste 463
Chicago, IL 60631
Phone (773) 763-8400

Interoperability endpoints

  • Direct secure messaging: lynnanderson@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1255453528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313704",
            "telephone_number": "773-763-8400",
            "fax_number": "773-774-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313704",
            "telephone_number": "773-763-8400",
            "fax_number": "773-774-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND HYPERTENSION CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-763-8400"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "042.617788 036.08684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daivavalaitis@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7447 W Talcott Ave Ste 425",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnanderson@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7447 W Talcott Ave Ste 425",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.