Individual provider Active NPI

Kristin Leigh Auge-Bronersky

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1861028243
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.078926 Issued in IL
Practice address
1853 W Polk St
Chicago, IL 60612-4355
Phone
(312) 996-3500
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.078926 IL Primary

Addresses

Primary practice location

1853 W Polk St
Chicago, IL 60612-4355

Mailing address

1853 W Polk St
Chicago, IL 60612-4355

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chicago

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
I20210622000708 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0840691341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: kaugebronersky86900@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1861028243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124355",
            "telephone_number": "312-996-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGE-BRONERSKY",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.078926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chicago",
            "affiliation": "N",
            "address_1": "1853 W Polk St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606124355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.