Individual provider Active NPI

Kristina Kelly Mitton, M.D.

  • Pediatrics Physician
  • Glenview, IL
National Provider Identifier
1922328640
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036133431 Issued in IL
Practice address
2551 Compass Rd Ste 100
Glenview, IL 60026-8042
Phone
(847) 729-6445
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036133431 IL Primary

Addresses

Primary practice location

2551 Compass Rd Ste 100
Glenview, IL 60026-8042

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address kmitton96056@direct.nch.org
Direct Messaging Address kristina.mitton.1@380.direct.athenahealth.com
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address kmitton342628@direct.myadvocateauora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address kmitton342628@direct.myadvocateauora.org

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
I20151026001707 IL Practitioner - Pediatric Medicine 0840509212 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036133431ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Jul 18, 2022 Accepting new patients
Northwest Community Health Services Inc Pediatrics CurrentSince Aug 22, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 18, 2022 Accepting new patients
Northwest Community Health Services Inc CurrentSince Aug 22, 2015 Accepting new patients
Alexian Brothers Medical Care Group NFP Pediatrics PastSince May 1, 2022 Accepting new patients

Locations

3295 N Arlington Heights Rd
Ste 107
Arlington Heights, IL 60004
Phone (224) 206-5001

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

135 N Arlington Heights Rd
Ste 152
Buffalo Grove, IL 60089
Phone (847) 465-9600

25233 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

2551 Compass Rd
Ste 100
Glenview, IL 60026
Phone (847) 729-6445

Interoperability endpoints

  • Direct secure messaging: kmitton342628@direct.myadvocateaurora.org

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1922328640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COMPASS RD STE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268042",
            "telephone_number": "847-729-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTON",
        "first_name": "KRISTINA",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036133431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitton96056@direct.nch.org",
            "affiliation": "N",
            "address_1": "135 N Arlington Heights Rd Ste 152",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600891782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.mitton.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1786 Moon Lake Blvd Ste 201",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691067",
            "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": "2551 Compass Rd Ste 100",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitton342628@direct.myadvocateauora.org",
            "affiliation": "N",
            "address_1": "2551 Compass Rd Ste 100",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268042",
            "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": "2551 Compass Rd Ste 100",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitton342628@direct.myadvocateauora.org",
            "affiliation": "N",
            "address_1": "2551 Compass Rd Ste 100",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.