Individual provider Active NPI

Kathleen M. Scarpulla, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1790886851
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-075323 Issued in IL
Practice address
3115 N Harlem Ave Ste 300
Chicago, IL 60634-4683
Phone
(773) 283-2454
Fax
(773) 283-2474
NPI assigned
Sep 25, 2006
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-075323 IL Primary

Addresses

Primary practice location

3115 N Harlem Ave Ste 300
Chicago, IL 60634-4683

Mailing address

3115 N Harlem Ave Ste 300
Chicago, IL 60634-4683
Phone (773) 283-2454

Other identifiers 1

IdentifierTypeStateIssuer
036-075323OtherILSTATE LICENSE

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
I20070808000327 IL Practitioner - Ophthalmology 9133029333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk Eye Center SCGroup PAC ID 2769527118, 8 clinicians
Carr Eye Professionals PCGroup PAC ID 4981591963, 3 clinicians

Practice addresses (Care Compare)

7427 Lake St
River Forest, IL 60305-1817
Phone (708) 771-3334

9661 W 143Rd St
Suite 202
Orland Park, IL 60462-2088
Phone (708) 361-6141

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.92 of 100Reported as group
Quality
98.66
Improvement activities
40
Cost
81.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075323ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Forest Surgery Center LLC Current Accepting new patients
River Forest Surgery Center LLC Current Accepting new patients
Kirk Eye Center, SC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients

Locations

2719 W Peterson Ave
Chicago, IL 60659
Phone (773) 271-2719

3115 N Harlem Ave
Ste 300
Chicago, IL 60634
Phone (773) 283-2454

5600 W Addison St
Ste 403
Chicago, IL 60634
Phone (773) 283-2454

7427 Lake St
River Forest, IL 60305
Phone (708) 488-1200

6850 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509

Interoperability endpoints

  • Direct secure messaging: kscarpulla@kirkeye.imwdirect.com
  • Direct secure messaging: kscarpulla@mep.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1790886851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 N HARLEM AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344683",
            "telephone_number": "773-283-2454",
            "fax_number": "773-283-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N HARLEM AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344683",
            "telephone_number": "773-283-2454",
            "fax_number": "773-283-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPULLA",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-075323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-075323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.