Individual provider Active NPI

Kalisha Ashara Hill, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Olympia Fields, IL
National Provider Identifier
1851384754
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Practice address
20201 Crawford Ave
St James Hospital Olympia Fields Campus
Olympia Fields, IL 60461-1010
Phone
(708) 747-4000
Fax
(708) 503-3242
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01057306A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X IL Primary

Addresses

Primary practice location

20201 Crawford Ave
St James Hospital Olympia Fields Campus
Olympia Fields, IL 60461-1010

Mailing address

113 E 4TH St
Michigan City, IN 46360-3301
Phone (219) 879-2208

Other identifiers 3

IdentifierTypeStateIssuer
5496754OtherINCCN
01630255OtherILBC/BS
297680OtherINBC/BS

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
I20040526000773 IL Practitioner - Pathology 7416938436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 W Court St
Kankakee, IL 60901-3661
Phone (708) 937-2400

Hospital & facility affiliations

  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103911ILMDAnatomic Pathology & Clinical Pathology Physician
01057306AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mediexperts, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 15, 2017 Accepting new patients

Locations

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1919 S Highland Ave
Ste 210
Lombard, IL 60148

1919 S Highland Ave
Bldg A
Lombard, IL 60148

1919 S Highland Ave
Lombard, IL 60148
Phone (630) 423-3507

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UpliftedcareBourbonnais, IL, CCN 141556 Hospice Corporate Director (100%) Jan 26, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 5

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1851384754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E 4TH ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603301",
            "telephone_number": "219-879-2208",
            "fax_number": "219-873-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-747-4000",
            "fax_number": "708-503-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KALISHA",
        "middle_name": "ASHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01057306A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5496754",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01630255",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "297680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.