Individual provider Active NPI

Kathryn L Colman, M.D.

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1508098476
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036135229 Issued in IL
Practice address
3000 N Halsted St
Suite 400
Chicago, IL 60657-5188
Phone
(773) 296-6550
Fax
(773) 296-5500
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT186854 PA
Otolaryngology Physician 207Y00000X 036135229 IL Primary

Addresses

Primary practice location

3000 N Halsted St
Suite 400
Chicago, IL 60657-5188

Mailing address

PO Box 809094
Chicago, IL 60680-9094
Phone (312) 236-3642

Other identifiers 1

IdentifierTypeStateIssuer
036135229MedicaidIL

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
I20140711000455 IL Practitioner - Otolaryngology 5092992420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

2845 N Sheridan Rd
Suite 807
Chicago, IL 60657-7227
Phone (773) 296-5500

3000 N Halsted St
Suite 400
Chicago, IL 60657-8480
Phone (773) 296-5500

331 W Surf St
Chicago, IL 60657-7227
Phone (773) 739-2694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036135229ILMDOtolaryngology Physician
MT186854PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Sep 14, 2022 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC Otolaryngology CurrentSince Sep 1, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 14, 2022 Accepting new patients
Presence Healthcare Services Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
University Ear Nose and Throat Associates Otolaryngology Past Accepting new patients

Locations

3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500

2211 N Oak Park Ave
Chicago, IL 60707
Phone (773) 385-5463

3000 N Halsted St
Ste 405
Chicago, IL 60657
Phone (773) 296-3390

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

Interoperability endpoints

  • Direct secure messaging: kathryn.colman@hncsa.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1508098476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809094",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809094",
            "telephone_number": "312-236-3642",
            "fax_number": "312-236-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-296-6550",
            "fax_number": "773-296-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMAN",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT186854",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036135229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036135229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.