MR. KIRK REMON RIDDLE LICENSED PROFESSIONA
NPI 1205387990
Counselor - Professional in Chicago, IL
About Mr. Kirk Remon Riddle Licensed Professiona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KIRK REMON RIDDLE LICENSED PROFESSIONA (NPI 1205387990) is an individual professional provider in Chicago, Illinois, licensed in Illinois (01YP2500X) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kirk Remon Riddle Licensed Professiona is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kirk Riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60615
- Reassigned Medicare billing, Illinois enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kirk Riddle's NPI number?
The NPI number for Kirk Riddle is 1205387990. It was assigned to this individual provider in the NPPES registry on October 18, 2016.
Where is Kirk Riddle located?
Kirk Riddle practices at 1525 E. 53rd Street, Suite 425, Chicago, IL 60615. The listed phone number is (773) 819-5504.
What is Kirk Riddle's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kirk Riddle enrolled in Medicare?
Yes. Kirk Riddle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kirk Riddle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Riddle reassigns Medicare benefits to Healing Empowering & Learning Professionals LLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirk Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kirk Riddle was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kirk Remon Riddle, LICENSED PROFESSIONA · NPI 1205387990
Professional provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 18, 2016.
## Identity
- **NPI:** 1205387990 (Entity type: Individual)
- **Enumerated:** October 18, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 01YP2500X (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 E. 53RD STREET, SUITE 425, Chicago, IL 60615
- **Phone:** (773) 819-5504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Healing Empowering & Learning Professionals LLC (NPI 1871883496, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1205387990) · Data from the CMS NPPES public registry.