NPIMap

Individual provider Active NPI

Kathleen A Ward, M.D.

  • Cardiovascular Disease Physician
  • La Grange, IL
National Provider Identifier
1861501728
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-071078 Issued in IL
Practice address
1400 W 47TH St
Suite1
La Grange, IL 60525-6141
Phone
(708) 698-4563
Fax
(708) 361-7968
NPI assigned
Aug 30, 2006
Last updated
Jun 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-071078 IL Primary

Addresses

Primary practice location

1400 W 47TH St
Suite1
La Grange, IL 60525-6141

Mailing address

1400 W 47TH St
Suite1
La Grange, IL 60525-6141
Phone (708) 698-4563

Other identifiers 1

IdentifierTypeStateIssuer
036071078MedicaidIL

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
I20031113000758 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325952443 Reassigns benefits to 1 organization
Practice locations: La Grange, IL; Oak Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

408 Madison St
Oak Park, IL 60302-4091
Phone (708) 710-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-071078ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Diagnostics Inc. CurrentSince Aug 24, 2020 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Touhy Diagnostic at Home, LLC CurrentSince Sep 5, 2023 Accepting new patients
Northshore Imaging Services Inc CurrentSince Apr 27, 2017 Accepting new patients
Touhy Diagnostic at Home LLC CurrentSince Sep 5, 2023 Accepting new patients
Chicago Ridge Medical Imaging, LLC CurrentSince Aug 15, 2023 Accepting new patients
Lifestream Diagnostics Inc. CurrentSince Aug 16, 2024 Accepting new patients
Mount Sinai Community Foundation Cardiovascular Disease Past Accepting new patients
Urban Home Physicians, Inc. Past Accepting new patients
Skyline Physicians LLC PastSince Sep 10, 2023 Accepting new patients
Edwin Iliff, M.D.,Inc. Past Accepting new patients
Infectious Disease Care, PLC Past Accepting new patients

Locations

490 Lee St
Des Plaines, IL 60016
Phone (847) 803-1111

Interoperability endpoints

  • Direct secure messaging: kward104984@direct.luhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1861501728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "SUITE1",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-698-4563",
            "fax_number": "708-361-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "SUITE1",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-698-4563",
            "fax_number": "708-361-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-071078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071078",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.