Kirk Van Shepard II, MD, MS

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036.151294 Issued in IL

Practice address

3000 N Halsted St Ste 400
Chicago, IL 60657-8480

Phone

(773) 296-5500

NPI assigned

Mar 28, 2014

Last updated

Jul 22, 2020By the provider in NPPES

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

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

Specialty

Allergy/Immunology

Education

Chicago College of Medicine and Surgery, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirk.shepard@hncsa.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1982022810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578480",
            "telephone_number": "773-296-5500",
            "fax_number": "773-296-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578480",
            "telephone_number": "773-296-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "KIRK",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.151294",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.151294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati Shenoy, MPT
• Vikram Vishnu Shenoy
• Debra Shepard, LCSW, RDDP
• Frederick Cary Shepard, LPC
• Janice Tucker Shepard, MS,CCC,SLP -L
• Myrtise Shepard
• Rebekah S. Shephard, APRN
• Dane Jeffrey Shepherd, D.O.
• Danielle Shepherd, MD
• David Shepherd

• Allergy & Immunology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.