Individual provider Active NPI

Katherine Koepke Hamming, M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
National Provider Identifier
1861684334
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036.127725 Issued in IL
Practice address
2604 Dempster St Ste 501
Park Ridge, IL 60068-8429
Phone
(847) 674-5585
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036.127725 IL Primary

Addresses

Primary practice location

2604 Dempster St Ste 501
Park Ridge, IL 60068-8429

Mailing address

2604 Dempster St Ste 501
Park Ridge, IL 60068-8429
Phone (847) 674-5585

Other practice location 1

8780 W Golf Rd
Suite 200
Niles, IL 60714-5602
Phone (847) 674-5585

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address khamming251624@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address khamming251624@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

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
I20111017000050 IL Practitioner - Otolaryngology 1557533676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

2604 Dempster St
Suite 501
Park Ridge, IL 60068-8429
Phone (847) 674-5585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127725ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest ENT Alliance PLLC Otolaryngology CurrentSince Nov 1, 2024 Accepting new patients
Ear, Nose & Throat Specialists of Illinois LTD CurrentSince Sep 1, 2011 Accepting new patients
Hearing Professionals of Il LTD PastSince Jan 29, 2026 Accepting new patients
Bastian Voice Institute, LLC Otolaryngology PastSince Sep 22, 2003 Accepting new patients

Locations

111 S Pfingsten Rd
Ste 106
Deerfield, IL 60015

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

2150 Pfingsten Rd
Ste 2260
Glenview, IL 60026
Phone (847) 475-8600

1475 E Belvidere Rd
Ste 212
Grayslake, IL 60030
Phone (847) 295-0433

767 Park Ave W
Ste 220A
Highland Park, IL 60035

767 Park Ave W
Ste 220
Highland Park, IL 60035
Phone (847) 432-7222

2500 W Higgins Rd
Ste 1150
Hoffman Estates, IL 60169
Phone (847) 843-1100

1800 Hollister Dr
Ste 1
Libertyville, IL 60048

1900 Hollister Dr
Ste 220
Libertyville, IL 60048
Phone (847) 367-4040

8780 W Golf Rd
Ste 200
Niles, IL 60714
Phone (847) 824-4390

16001 108th Ave
Orland Park, IL 60467
Phone (708) 460-0007

2604 Dempster St
Ste 501
Park Ridge, IL 60068
Phone 8476745585111

1675 W Dempster St
Park Ridge, IL 60068
Phone (847) 318-9300

1675 W Dempster St
Fl 3
Park Ridge, IL 60068
Phone (847) 318-9330

Interoperability endpoints

  • Direct secure messaging: khamming251624@direct.myadvocateaurora.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1861684334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 501",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688429",
            "telephone_number": "847-674-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 501",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688429",
            "telephone_number": "847-674-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8780 W Golf Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607145602",
            "country_code": "US",
            "telephone_number": "847-674-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMING",
        "first_name": "KATHERINE",
        "middle_name": "KOEPKE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036.127725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khamming251624@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8780 W Golf Rd",
            "address_2": "Suite 200",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607145602",
            "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": "8780 W Golf Rd",
            "address_2": "Suite 200",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607145602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khamming251624@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2604 Dempster St Ste 501",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600688429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2604 Dempster St Ste 501",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600688429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.