NPIMap

Individual provider Active NPI

Kyle Robert Hadden, MD

  • Family Medicine Physician
  • Jacksonville, IL
National Provider Identifier
1962996280
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036156659 Issued in IL
Practice address
15 Founders LN Ste 100
Jacksonville, IL 62650-3924
Phone
(217) 243-0300
Fax
(217) 245-6775
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036156659 IL Primary

Addresses

Primary practice location

15 Founders LN Ste 100
Jacksonville, IL 62650-3924

Mailing address

15 Founders LN Ste 100
Jacksonville, IL 62650-3924
Phone (217) 243-0300

Other identifiers 1

IdentifierTypeStateIssuer
036156659OtherILMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001628 IL Practitioner - Family Practice 7618223017
I20260123001820 OK Practitioner - Family Practice 7618223017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 588-2600

4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 331-9979

Hospital & facility affiliations

  • Residential Home Health of Southern Illinois Home health agency, Glen Carbon, IL, CCN 147039
  • Elara Caring V Home health agency, Springfield, IL, CCN 148086
  • Enhabit Home Health Home health agency, Springfield, IL, CCN 147708
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148
  • Jacksonville Memorial Hospital Hospital, Jacksonville, IL, CCN 141352
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic LLP Current Accepting new patients
Memorial Physician Services Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Memorial Physician Services Family Medicine Current Accepting new patients
Family Medical Center of Chatham, LLC Family Medicine Current Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Memorial Health Partners Family Medicine Current Accepting new patients
Memorial Physician Services CurrentSince Jul 1, 2021 Accepting new patients
Memorial Expresscare, LLC Family Medicine Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

15 Founders Ln
Ste 100
Jacksonville, IL 62650
Phone (217) 243-0300

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: kylehadden@sfc.allscriptsdirect.net
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: kylehadden@memorial.allscriptsdirect.net

Organizations & group practices 9

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 8

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1962996280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOUNDERS LN STE 100",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503924",
            "telephone_number": "217-243-0300",
            "fax_number": "217-245-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOUNDERS LN STE 100",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503924",
            "telephone_number": "217-243-0300",
            "fax_number": "217-245-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDEN",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036156659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "036156659",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

Verify at the official NPI Registry.