Individual provider Active NPI

Kimberly J Walko, PA-C

  • Physician Assistant
  • Yorkville, IL
National Provider Identifier
1386856961
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-001470 Issued in IL
Practice address
1100 Veterans Parkway
Suite 200
Yorkville, IL 60560-1095
Phone
(630) 236-4270
Fax
(630) 236-4271
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-001470 IL Primary

Addresses

Primary practice location

1100 Veterans Parkway
Suite 200
Yorkville, IL 60560-1095

Mailing address

1100 W Veterans Pkwy Ste 200
Yorkville, IL 60560-4728
Phone (630) 236-4270

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000785 IL Practitioner - Physician Assistant 4183691157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

4390 Route 71
Oswego, IL 60543-9866
Phone (630) 554-1001

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

4789 State Route 71
Oswego, IL 60543-7415
Phone (630) 898-5969

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-001470ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince May 14, 2007 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Copley Memorial Hospital Inc. Past Accepting new patients
Rush Copley Medical Group Past Accepting new patients

Locations

2000 Ogden Ave
Ste P50
Aurora, IL 60504

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

Interoperability endpoints

  • Direct secure messaging: kwalko84027@direct.rush.rush-health.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 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1386856961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W VETERANS PKWY STE 200",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604728",
            "telephone_number": "630-236-4270",
            "fax_number": "630-236-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VETERANS PARKWAY",
            "address_2": "SUITE 200",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601095",
            "telephone_number": "630-236-4270",
            "fax_number": "630-236-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKO",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.