Individual provider Active NPI

Andrew D. Kim, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1891115077
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036.148413 Issued in IL
Practice address
5645 W Addison St
Chicago, IL 60634-4403
Phone
(773) 282-7000
NPI assigned
Apr 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.148413 IL Primary

Addresses

Primary practice location

5645 W Addison St
Chicago, IL 60634-4403

Mailing address

9725 Woods Dr Unit 1316
Skokie, IL 60077-4455

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
I20190528000193 IL Practitioner - Anesthesiology 4880937291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Anesthesiologists LTDGroup PAC ID 3870554298, 20 clinicians
Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4524
Phone (847) 742-7272

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.148413ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Town Square Anesthesia LLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Huntley Anesthesia Associates LLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Oak Brook Anesthesiologists, LTD. Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

999 E Touhy Ave
Ste 350
Des Plaines, IL 60018
Phone (224) 725-5850

1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 3

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 1

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": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1891115077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 WOODS DR UNIT 1316",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "773-282-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-26",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.148413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.