Individual provider Active NPI

Kenneth Silver, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Chicago, IL
National Provider Identifier
1871661686
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
036-094697 Issued in IL
Practice address
5841 S Maryland Ave MC 3055
University of Chicago Hospitals & Clinics
Chicago, IL 60637
Phone
(773) 702-6487
Fax
(773) 702-4786
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 036-094697 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave MC 3055
University of Chicago Hospitals & Clinics
Chicago, IL 60637

Mailing address

5841 S Maryland Ave MC 3055
University of Chicago Hospitals & Clinics
Chicago, IL 60637
Phone (773) 702-6487

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
I20040903000414 IL Practitioner - Pediatric Medicine 5496721185 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094697ILMDPediatric Neurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Sep 14, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 14, 2022 Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2010 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

2211 N Oak Park Ave
Chicago, IL 60707
Phone (773) 385-5463

Organizations & group practices 6

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1871661686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE MC 3055",
            "address_2": "UNIVERSITY OF CHICAGO HOSPITALS & CLINICS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-702-6487",
            "fax_number": "773-702-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE MC 3055",
            "address_2": "UNIVERSITY OF CHICAGO HOSPITALS & CLINICS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-702-6487",
            "fax_number": "773-702-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "IL",
            "license": "036-094697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.