Active NPI
Victoria Luvenia Kyerematen, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1417648312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD21350
- Practice address
- 5140 N California Ave
Chicago, IL 60625-3645 - Phone
- (773) 989-3808
- NPI assigned
- May 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.081779 | IL | |
| Family Medicine Physician | 207Q00000X | MD21350 | RI | Primary |
Addresses
Primary practice location
5140 N California Ave
Chicago, IL 60625-3645
Mailing address
5140 N California Ave
Chicago, IL 60625-3645
Other practice location 1
39 East Ave
Pawtucket, RI 02860-4003
Phone (401) 312-5247
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Other practice location 3
111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.081779 | IL | MD | Family Medicine Physician |
| MD21350 | RI | MD | Internal Medicine Physician |
Interoperability endpoints
- vkyerematen644617@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1417648312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-989-3808"
}
],
"practiceLocations": [
{
"address_1": "39 East Ave",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604003",
"country_code": "US",
"telephone_number": "401-312-5247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Brewster St",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604400",
"country_code": "US",
"telephone_number": "401-729-2304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYEREMATEN",
"first_name": "VICTORIA",
"middle_name": "LUVENIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.081779",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD21350",
"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 Jun 23, 2026; 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.