Individual provider Active NPI

Kristen Wendell, DO

  • Hematology & Oncology Physician
  • Niles, IL
National Provider Identifier
1619219722
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036138731 Issued in IL
Practice address
8915 W Golf Rd
Niles, IL 60714
Phone
(847) 827-9060
Fax
(847) 827-7196
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036138731 IL Primary

Addresses

Primary practice location

8915 W Golf Rd
Niles, IL 60714

Mailing address

25070 Network PL
Chicago, IL 60673-1385
Phone (847) 585-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kwendell250850@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

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
I20190911002410 IL Practitioner - Hematology/Oncology 9537464086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Midwestern University, Chicago College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Cancer SpecialistsGroup PAC ID 5597665752, 26 clinicians

Practice addresses (Care Compare)

8915 W Golf Rd
Niles, IL 60714-5905
Phone (847) 827-9060

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Nov 1, 2019 Accepting new patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Nov 1, 2019 Accepting new patients

Locations

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

Interoperability endpoints

  • Direct secure messaging: kristen.wendell@ics.ikm.direct-ci.com
  • Direct secure messaging: kwendell250850@direct.myadvocateaurora.org

Organizations & group practices 2

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 4

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1619219722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731385",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-827-9060",
            "fax_number": "847-827-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036138731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwendell250850@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8915 W Golf Rd",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8915 W Golf Rd",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.