Kimball H Ladien, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

1011 W Wellington Ave
Chicago, IL 60657-4325

Phone

(773) 883-0200

Fax

(773) 883-0090

NPI assigned

May 18, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• Tca Health Inc NFP

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1184757353
  Medicare reassignment NPD
• Kimball Ladien,MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1538480736
  NPD (past) Authorized official
• Greenview Health Center Chartered

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1184632051
  NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Northlake, IL
  • NPI 1598094906
  NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Tca Health Inc NFP

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1093404576
  NPD
• Chicago Physician Associates,LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1568661072
  NPD (past)
• Dixon F Spivy MD, LLC

  • Neurology Physician
  • Chicago, IL
  • NPI 1396944807

  Psychiatry

  NPD (past)
• South Suburban Senior Socialites, Inc

  • Group Psychotherapy Psychologist
  • Hazel Crest, IL
  • NPI 1740421296
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629021787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADIEN",
        "first_name": "KIMBALL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indrig Ladden, LCSW
• Keith Michael Ladendorf, PA-C
• Nicole Laderberg Bowers, PSYD
• Amy M Ladewski, PA-C
• Michael Edward Ladewski, D.O.
• Tunji Ladipo, MD
• Daniela Ladner, MD
• Margaret Ladner, CNM
• Juan Jose Lado, MD
• Megan Ladowski, APRN

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.