Individual provider Active NPI

Kirsten G Hefele, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1992849137
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036104387 Issued in IL
Practice address
2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160
Phone
(773) 248-6913
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 036104387 IL Primary

Addresses

Primary practice location

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160

Mailing address

2740 W Foster Ave
Ste 310
Chicago, IL 60625-3547
Phone (773) 878-8200

Other practice location 1

3121 N Sheridan Rd
Chicago, IL 60657-4945
Phone (773) 404-9800

Other identifiers 6

IdentifierTypeStateIssuer
K52343OtherILMEDICARE INDIVIDUAL PTAN
110248408OtherILMEDICARE RAILROAD EMPLOYER PTAN
1447266176OtherILMEDICARE GROUP NPI
036104387MedicaidIL
745950OtherILMEDICARE GROUP PTAN
1992849137OtherILMEDICARE INDIVIDUAL NPI

Other names 1

  • Dr. Kirsten G Hefele Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khefele17032@ce-direct.presencehealth.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
I20060505000176 IL Practitioner - Family Practice 6204847213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104387ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Feb 1, 2013 Accepting new patients
Swedish Covenant Management Services, Inc. Family Medicine Current Accepting new patients
Presence Healthcare Services CurrentSince Mar 1, 2017 Accepting new patients
Presence Healthcare Services Family Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Feb 1, 2013 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2845 N Sheridan Rd
Ste 801
Chicago, IL 60657
Phone (773) 665-6851

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2800 N Sheridan Rd
Chicago, IL 60657
Phone (773) 281-7835

331 W Surf St
Ste 801
Chicago, IL 60657

2740 W Foster Ave
Ste 310
Chicago, IL 60625

4753 N Elston Ave
Chicago, IL 60630
Phone (773) 205-7200

2800 N Sheridan Rd
Ste 309
Chicago, IL 60657
Phone (773) 248-6913

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

2800 N Sheridan Rd
Ste 101
Chicago, IL 60657
Phone (773) 281-7835

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: khefele17032@ce-direct.presencehealth.org

Organizations & group practices 7

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1992849137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160",
            "telephone_number": "773-248-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574945",
            "country_code": "US",
            "telephone_number": "773-404-9800",
            "fax_number": "773-832-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFELE",
        "first_name": "KIRSTEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "K52343",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD EMPLOYER PTAN",
            "identifier": "110248408",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1447266176",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104387",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "745950",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1992849137",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khefele17032@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 309",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "HEFELE",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.