Kyle Cox Blair, DO

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

036.159412 Issued in IL

Practice address

2454 E Dempster St Ste 400
Des Plaines, IL 60016-5320

Phone

(847) 299-0700

Fax

(847) 390-0616

NPI assigned

May 13, 2016

Last updated

Jul 26, 2022By 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 3

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

Specialty

Ophthalmology

Education

Col of Osteo Med of the Pacific at Lebanon, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants, LTDGroup PAC ID 4486633922, 11 clinicians

Central Eye Care LTDGroup PAC ID 9638332463, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
• Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
• Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.blair@retinaltd.eclinicaldirectplus.com

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.

• Central Eye Care LTD

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1609140409
  Medicare reassignment Care Compare group NPD
• Retina Consultants, LTD

  • Specialist
  • Des Plaines, IL
  • NPI 1013085992
  Medicare reassignment Care Compare group NPD
• Ocular Partners PLLC

  dba Arbor Centers for Eyecare

  • Ophthalmic Technician/Technologist
  • Homewood, IL
  • NPI 1295792901
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Condell Medical Center

  dba Advocate Condell Imaging Center

  • Mobile Mammography Clinic/Center
  • Gurnee, IL
  • NPI 1023262441

  Hospital

  Care Compare affiliation
• Advocate Condell Medical Center

  • General Acute Care Hospital
  • Libertyville, IL
  • NPI 1124272547
  Care Compare affiliation
• Advocate Condell Medical Center

  dba Advocate Condell Medical Center Grays Lake

  • Mobile Mammography Clinic/Center
  • Grayslake, IL
  • NPI 1770737199

  Hospital

  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Lutheran General Hospital

  • General Acute Care Hospital
  • Park Ridge, IL
  • NPI 1164539730
  Care Compare affiliation
• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Northern Illinois Medical Center

  dba Centegra Hospital McHenry

  • General Acute Care Hospital
  • McHenry, IL
  • NPI 1982611281
  Care Compare affiliation

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1699121194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165320",
            "telephone_number": "541-990-5464",
            "fax_number": "847-390-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165320",
            "telephone_number": "847-299-0700",
            "fax_number": "847-390-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Water Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212790",
            "country_code": "US",
            "telephone_number": "541-990-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "KYLE",
        "middle_name": "COX",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.159412",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036.159412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bixby, PHARMD
• BKD Personal Assistance Services LLC (Brookdale at Home Des Plaines)
• Tina Fruscione Blachut, D.O.
• Tracey Latonya Blackburn
• Kathleen Leslie Blaha, LPC
• Michael P Blair, M.D.
• Blare House Inc. (The Visions Network)
• BLC-the Heritage of Des Plaines, LLC (Brookdale Des Plaines)
• Lisa Blumofe
• William C Blustein, M.D.

• Retina Specialist (Ophthalmology) Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Retina Specialist (Ophthalmology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.