Kevin Augustine Joseph, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036139732 Issued in IL

Practice address

7110 W 127TH St Ste 130
Palos Heights, IL 60463-1579

Phone

(708) 923-6300

Fax

(708) 923-6303

NPI assigned

Mar 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• George Skarpathiotis, M.D., S.C.

  • Pediatrics Physician
  • Palos Heights, IL
  • NPI 1972657666
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1932441771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MCCLURG CT",
            "address_2": "APT #409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114370",
            "telephone_number": "262-844-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631579",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KEVIN",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036139732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036139732",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjoseph278424@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7110 W 127th St Ste 130",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631579",
            "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": "7110 W 127th St Ste 130",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis D Jones
• Andrea Revethis Jones, FNP-BC
• Madison Jones, APRN, CNP
• John Jonihakis, D.C.
• Anu Mary Joseph
• Nicole Denee Joy, P.A.-C.
• Emma Jubeh, RD
• Stephen J Jumic
• Katarzyna Kaczmarczyk, DPT
• Monica Kaczmarczyk

• Pediatrics Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.