Individual provider Active NPI

Kara P Fine, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Deerfield, IL
National Provider Identifier
1720286644
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
142434 Issued in IL
Practice address
1513 Stratford Rd Ste 100
Deerfield, IL 60015-2147
Phone
(917) 880-7697
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 142434 IL Primary

Addresses

Primary practice location

1513 Stratford Rd Ste 100
Deerfield, IL 60015-2147

Mailing address

1513 Stratford Rd Ste 100
Deerfield, IL 60015-2147
Phone (917) 880-7697

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816003263 IL Practitioner - Endocrinology 8921282633 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142434ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Endocrinology & Diabetes Endocrinology, Diabetes & Metabolism CurrentSince Jul 10, 2017 Accepting new patients
New York Downtown Medical Associates Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 111
Arlington Heights, IL 60005
Phone (847) 228-3200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1720286644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 STRATFORD RD STE 100",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152147",
            "telephone_number": "917-880-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 STRATFORD RD STE 100",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152147",
            "telephone_number": "917-880-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "KARA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "142434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.