NPIMap

Individual provider Active NPI

Kelli Marie Kilgore, D.O.

  • Obstetrics & Gynecology Physician
  • Lake Barrington, IL
National Provider Identifier
1790120293
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.142936 Issued in IL
Practice address
22285 N Pepper Rd Ste 111
Lake Barrington, IL 60010-2539
Phone
(847) 382-7330
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.142936 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 111
Lake Barrington, IL 60010-2539

Mailing address

182 River Rd
Lake Barrington, IL 60010-1169
Phone (515) 770-9364

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkilgore234341@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170916000106 IL Practitioner - Obstetrics/Gynecology 3274838164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Barrington Womens Health Center PCGroup PAC ID 0840268975, 4 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 111
Lake Barrington, IL 60010-2539
Phone (847) 382-7330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.142936ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Barrington Womens Health Center PC CurrentSince Oct 16, 2020 Accepting new patients
Lake Barrington Women'S Health Center, PC Past Accepting new patients
Mobile Anesthesiologists Chicago LLC PastSince Oct 6, 2019 Accepting new patients

Locations

2298 County Line Rd
Algonquin, IL 60102
Phone (847) 854-8542

22285 N Pepper Rd
Ste 111
Lake Barrington, IL 60010
Phone (708) 382-7330

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61178

Organizations & group practices 3

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.

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1790120293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RIVER RD",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600101169",
            "telephone_number": "515-770-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 111",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-382-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.142936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkilgore234341@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22285 N Pepper Rd Ste 111",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "22285 N Pepper Rd Ste 111",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.