Individual provider Active NPI

Kathleen I Papazian, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • McHenry, IL
National Provider Identifier
1780636720
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
OS18744 Issued in FL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 759-3100
Fax
(815) 363-9044
NPI assigned
May 17, 2006
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200500232 NC
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OS18744 FL Primary

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

1213 Norwood St.
Emergency Department
Melrose Park, IL 60160
Phone (312) 636-1903

Other identifiers 4

IdentifierTypeStateIssuer
5901020MedicaidNC
036093024OtherILSTATE LICENSE
13975OtherNCBLUE CROSS
P00205633OtherNCRAILROAD MEDICARE

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
I20040920000546 IL Practitioner - Emergency Medicine 1658349519 Reassigns benefits to 8 organizations
I20230221000830 FL Practitioner - Emergency Medicine 1658349519 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500232NCMDEmergency Medicine Physician
OS18744FLMDEmergency Medical Services (Emergency Medicine) Physician
944SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Rose Healthcare Management LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Nov 9, 2022 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Sep 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine Current Accepting new patients
Loyola University Medical Center Current Accepting new patients
Loretto Hospital CurrentSince Nov 23, 2019 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Feb 1, 2016 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 15, 2020 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince May 15, 2023 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince May 15, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 15, 2020 Accepting new patients
Harbor Palliative Care Services, Inc. CurrentSince Jan 29, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Morselife Hospice Institute, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients
Morselife Hospice Institute, Inc. PastSince Oct 29, 2023 Accepting new patients
Hillside Emergency Physicians Emergency Medicine Past Accepting new patients
Advanced Vein and Laser Centre,LTD PastSince Nov 1, 2004 Accepting new patients
Martin P. Lanoff, MD., S.C. PastSince May 1, 2021 Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Horizon Emergency Physician Group, LTD Emergency Medicine Past Accepting new patients

Locations (25 of 29)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

4876 N Morselife Dr
West Palm Beach, FL 33417
Phone (561) 341-8576

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

5961 N Lincoln Ave
Ste 102
Chicago, IL 60659
Phone 3127023923 ext. 23923

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

Interoperability endpoints

  • Direct secure messaging: kpapazian90439@direct.luhs.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1780636720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 NORWOOD ST.",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "312-636-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-759-3100",
            "fax_number": "815-363-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAZIAN",
        "first_name": "KATHLEEN",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-05-09",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200500232",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "OS18744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901020",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036093024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "13975",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205633",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.