Individual provider Active NPI

Kara Ann Vormittag, M.D.

  • Family Medicine Physician
  • Skokie, IL
National Provider Identifier
1497901292
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036120293 Issued in IL
Practice address
9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone
(224) 364-2273
Fax
(847) 663-8290
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 036120293 IL
Family Medicine Physician 207Q00000X 036120293 IL Primary

Addresses

Primary practice location

9977 Woods Dr Ste 100
Skokie, IL 60077-1057

Mailing address

9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone (224) 364-2273

Other practice location 1

199 W Rand Rd
Mount Prospect, IL 60056-1151
Phone (847) 618-5400

Other identifiers 1

IdentifierTypeStateIssuer
036120293OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kvormittag133899@direct.nch.org

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
I20090915000230 IL Practitioner - Family PracticePractitioner - Sports Medicine 1658427760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Rush Medical College of Rush University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1329 N Wolf Rd
Mount Prospect, IL 60056-1500
Phone (847) 803-3040

2650 Ridge Ave
Evanston, IL 60201-1700

3304 W Touhy Ave
Skokie, IL 60076-7200
Phone (224) 364-2273

4901 Searle Pkwy
Suite 150
Skokie, IL 60077-1057

501 Skokie Blvd
Northbrook, IL 60062-2802
Phone (847) 504-2300

6141 N Cicero Ave
Chicago, IL 60646-4303
Phone (847) 866-7846

6450 W Touhy Ave
Niles, IL 60714-4512

7900 Rollins Rd
Gurnee, IL 60031-1512

920 Milwaukee Ave
Lincolnshire, IL 60069-3839
Phone (847) 866-7846

9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 663-8062

9977 Woods Dr 2ND Floor
Skokie, IL 60077-1057
Phone (847) 663-8370

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc CurrentSince Aug 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 31, 2009 Accepting new patients
Northwest Community Health Services Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Primary Care of Illinois, SC CurrentSince Dec 1, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Aug 31, 2009 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 14, 2023 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Jun 14, 2023 Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100

9532 Eagle Way
Chicago, IL 60678

25233 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1201 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 540-8088

199 W Rand Rd
Mt Prospect, IL 60056
Phone (847) 618-5400

1550 N Northwest Hwy
Ste 211
Park Ridge, IL 60068
Phone (847) 768-9300

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

9977 Woods Dr
Ste 100
Skokie, IL 60077
Phone (847) 663-8350

Interoperability endpoints

  • Direct secure messaging: kvormittag133899@direct.nch.org

Organizations & group practices 8

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 1

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1497901292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 W Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600561151",
            "country_code": "US",
            "telephone_number": "847-618-5400",
            "fax_number": "847-618-3709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORMITTAG",
        "first_name": "KARA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036120293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036120293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036120293",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvormittag133899@direct.nch.org",
            "affiliation": "N",
            "address_1": "199 W Rand Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600561151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.