Individual provider Active NPI

Jay F Kiokemeister, D.O.

  • Anesthesiology Physician
  • Venice, FL
National Provider Identifier
1629158472
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS21514 Issued in FL
Practice address
1350 E Venice Ave
Venice, FL 34285-9066
Phone
(941) 488-2030
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-086579 IL
Anesthesiology Physician 207L00000X OS21514 FL Primary

Addresses

Primary practice location

1350 E Venice Ave
Venice, FL 34285-9066

Mailing address

LBX 809274, PO Box 809274
Chicago, IL 60680-9274
Phone (773) 445-9696

Other practice location 1

60 E Delaware Pl
15th Fl
Chicago, IL 60611-1495
Phone (312) 440-5150

Other practice location 2

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jkiokemeister379038@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050105000193 IL Practitioner - AnesthesiologyPractitioner - Pain Management 2163493057 Reassigns benefits to 6 organizations
I20250506002595 FL Practitioner - Anesthesiology 2163493057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Chicago College of Osteopathy, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwood Anesthesia Associates LLCGroup PAC ID 8022920255, 40 clinicians

Practice addresses (Care Compare)

1350 E Venice Ave
Venice, FL 34285-9066
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-086579ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Elite Anesthesia Providers, LTD Anesthesiology CurrentSince Jul 15, 2024 Accepting new patients
Midamerica Orthopaedics, S.C. CurrentSince Sep 1, 2015 Accepting new patients
Midamerica Orthopaedics S.C. CurrentSince Sep 1, 2015 Accepting new patients
Dupage Eye Anesthesiology LLC Anesthesiology CurrentSince Jun 19, 2008 Accepting new patients
Palos Hills Surgery Center LLC Anesthesiology CurrentSince Mar 13, 2014 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Town Square Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
New Lenox Anesthesia LLC Anesthesiology CurrentSince Oct 6, 2018 Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology CurrentSince Feb 1, 1999 Accepting new patients
Pain Care Specialists, LLC Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Past Accepting new patients
Preferred Pain Care Specialists Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Integrative Health of Chicago Past Accepting new patients
Optimum Health Chiropractic Past Accepting new patients
Advocate Southwest Ambulatory Surgery Center LLC Past Accepting new patients
Partners in Surgical Care LLC Past Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

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

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

29373 Network Pl
Chicago, IL 60673

9831 S Western Ave
Chicago, IL 60643
Phone (773) 445-3500

19065 Hickory Creek Dr
Ste 210
Mokena, IL 60448
Phone (708) 237-7200

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678

9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437

7340 W College Dr
Fl 1
Palos Heights, IL 60463
Phone (708) 361-3233

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

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

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688

2015 N Main St
Wheaton, IL 60187
Phone (630) 665-3690

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

Interoperability endpoints

  • Direct secure messaging: jkiokemeister379038@direct.myadvocateaurora.org
  • Direct secure messaging: jkiokemeister@mo1800.srs-direct.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1629158472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LBX 809274, PO BOX 809274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809274",
            "telephone_number": "773-445-9696",
            "fax_number": "773-445-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Delaware Pl",
            "address_2": "15th Fl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111495",
            "country_code": "US",
            "telephone_number": "312-440-5150",
            "fax_number": "312-440-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIOKEMEISTER",
        "first_name": "JAY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-086579",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS21514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkiokemeister379038@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.