Individual provider Active NPI

Kathryn Omalley, DO

  • Obstetrics & Gynecology Physician
  • Elgin, IL
National Provider Identifier
1306460860
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.170183 Issued in IL
Practice address
1435 N Randall Rd Ste 309
Elgin, IL 60123-2304
Phone
(847) 741-7990
Fax
(847) 741-8099
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5151014561 MI
Obstetrics & Gynecology Physician 207V00000X 036.170183 IL Primary

Addresses

Primary practice location

1435 N Randall Rd Ste 309
Elgin, IL 60123-2304

Mailing address

1435 N Randall Rd Ste 309
Elgin, IL 60123-2304
Phone (847) 741-7990

Other practice location 1

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

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
I20240905000900 IL Practitioner - Obstetrics/Gynecology 9436571650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

1435 N Randall Rd
Suite 309
Elgin, IL 60123-2304
Phone (847) 741-7990

Hospital & facility affiliations

  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.170183ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

1435 N Randall Rd
Ste 309
Elgin, IL 60123
Phone (847) 401-0898

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

2000 McDonald Rd
Ste 230240
South Elgin, IL 60177
Phone (847) 289-0920

250 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 918-7050

Interoperability endpoints

  • Direct secure messaging: kathryn.o.malley.1@21117.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1306460860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 309",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232304",
            "telephone_number": "847-741-7990",
            "fax_number": "847-741-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 309",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232304",
            "telephone_number": "847-741-7990",
            "fax_number": "847-741-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025303",
            "country_code": "US",
            "telephone_number": "989-583-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5151014561",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.170183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.