Kathleen A. Hodgman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036048484 Issued in IL

Practice address

453 S Vermont St Ste C
Palatine, IL 60067-6968

Phone

(913) 359-6001

Fax

(319) 359-5552

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MBS Envision LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Mahomet, IL
  • NPI 1558970087
  NPD
• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527
  NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1285725929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COLLEGE BLVD STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111504",
            "telephone_number": "913-359-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S VERMONT ST STE C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676968",
            "telephone_number": "913-359-6001",
            "fax_number": "319-359-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGMAN",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36048484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036048484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04900710",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048484",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura J Higdon, PH.D.
• High Point Dentistry PLLC
• Highland Park CVS LLC
• Steven J Hillesheim, D.D.S.
• Amy Hochberg, FNP-C
• Slaton Hoffner, D.D.S.
• Holistic Eutopia PLLC
• Bradly Holloway
• Ashley Holm, COTA/L
• Alyssa Holum, DC

• Family Medicine Physician in Palatine, IL
• Providers in Palatine, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.