Individual provider Active NPI

Kelly E. Rimawi, APN

  • Acute Care Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1720215783
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209007636 Issued in IL
Practice address
10837 S Cicero Ave
Suite 200
Oak Lawn, IL 60453-6458
Phone
(708) 636-7575
Fax
(708) 636-6193
NPI assigned
Jun 17, 2009
Last updated
Jun 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209007636 IL Primary
Registered Nurse 163W00000X 041.325954 IL

Addresses

Primary practice location

10837 S Cicero Ave
Suite 200
Oak Lawn, IL 60453-6458

Mailing address

5009 W 95TH St
Oak Lawn, IL 60453-2401
Phone (708) 636-7575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000297 IL Practitioner - Nurse Practitioner 4587710140 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1620 W Harrison St
Chicago, IL 60612-3801

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.325954ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jan 20, 2016 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 20, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 15, 2018 Accepting new patients
Midamerica Cardiovascular Consultants, LTD Past Accepting new patients

Locations

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

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1118
Chicago, IL 60612
Phone (312) 942-5936

29373 Network Pl
Chicago, IL 60673

75 Remittance Dr
Dept 1611
Chicago, IL 60675

10837 S Cicero Ave
Ste 200
Oak Lawn, IL 60453
Phone (708) 346-7297

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

Interoperability endpoints

  • Direct secure messaging: krimawi17507@direct.rush.rush-health.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1720215783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532401",
            "telephone_number": "708-636-7575",
            "fax_number": "708-636-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE",
            "address_2": "SUITE 200",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536458",
            "telephone_number": "708-636-7575",
            "fax_number": "708-636-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMAWI",
        "first_name": "KELLY",
        "middle_name": "E.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209007636",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.325954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.