Kimberly D Arthur, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Hammond, IN
NPI 1700966629 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1700966629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036069965 (IL)
- Practice address
- 3432-196TH STR
Hammond, IN 46323-2542 - Phone
- (219) 844-9060
- Fax
- (219) 844-6912
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628000203 | IL | Practitioner - Obstetrics/Gynecology | 3971565698 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069965 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current |
Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Women'S Specialist of Northwest Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| St. Catherine Hospital Inc. | Past | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
3924 Main St
#202
East Chicago, IN 46312
Phone (219) 397-2008
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036069965 | IL | Yes |
Addresses
Primary practice location
3432-196TH STR
Hammond, IN 46323-2542
Mailing address
100 W Chicago Ave
Ste F
East Chicago, IN 46312-3261
Phone (219) 844-9060
Other practice location 1
7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377621352 | Medicaid | IL | |
| 100214780A | Medicaid | IN |
Other providers in Hammond, IN
- Apex Home Health Services, Inc
- Apex RX LLC
- Arc Bridges, Inc
- Arc Bridges, Inc
- Kehinde Arojojoye
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Alaa Atieh
- Anthony Avery
- Ganiyu Azeez
All providers in Hammond, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.