Individual provider Active NPI

Malgorzata A. Kochanek, M.D.

  • Nephrology Physician
  • Park Ridge, IL
National Provider Identifier
1982048435
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.140480 Issued in IL
Practice address
1550 N Northwest Hwy Ste 303
Park Ridge, IL 60068-1460
Phone
(847) 294-5160
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.140480 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy Ste 303
Park Ridge, IL 60068-1460

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2720

Other identifiers 1

IdentifierTypeStateIssuer
036140480MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkochanek250851@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20181109001306 IL Practitioner - NephrologyPractitioner - Internal Medicine 7911217062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Chicago College of Medicine and Surgery, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

1550 N Northwest Hwy
Suite 303
Park Ridge, IL 60068-1460
Phone (847) 294-5160

1625 Oakton PL
Des Plaines, IL 60018-2002
Phone (847) 795-0014

1775 W Dempster
Park Ridge, IL 60068-1143
Phone (312) 654-2721

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

8333 W Golf Rd
Niles, IL 60714-1113
Phone (847) 966-9190

9371 N Milwaukee Ave
Niles, IL 60714-1303
Phone (847) 581-0334

Hospital & facility affiliations

  • FMC - Des Plaines Dialysis facility, Des Plaines, IL, CCN 142774
  • FMC - Niles Dialysis facility, Niles, IL, CCN 142559
  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.140480ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology CurrentSince Dec 1, 2018 Accepting new patients

Locations

4026 Paysphere Cir
Chicago, IL 60674

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

1550 N Northwest Hwy
Ste 303
Park Ridge, IL 60068
Phone (847) 294-5160

Interoperability endpoints

  • Direct secure messaging: mkochanek18501@direct.acumenmd.com

Organizations & group practices 1

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 4

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1982048435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 303",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681460",
            "telephone_number": "847-294-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHANEK",
        "first_name": "MALGORZATA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.140480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036140480",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkochanek250851@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5841 S Maryland Ave # Mc5100",
            "address_2": "Nephrology M/C 5100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371447",
            "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": "5841 S Maryland Ave # Mc5100",
            "address_2": "Nephrology M/C 5100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.