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DR. KIERAN JOSEPH NICHOLSON M.D.
NPI 1205843653
Internal Medicine - Pulmonary Disease in Burr Ridge, IL

Active since August 01, 2006PECOS Enrolled
7803 DREW AVE, BURR RIDGE, IL 60527(630) 650-8392(630) 317-3310 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kieran Joseph Nicholson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIERAN JOSEPH NICHOLSON M.D. (NPI 1205843653) is an individual pulmonary disease provider in Burr Ridge, Illinois, licensed in Illinois (036-076743) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205843653
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KIERAN JOSEPH NICHOLSONCredential: M.D.
Location Address7803 DREW AVEBurr Ridge, IL 60527-6946
Mailing Address7803 Drew AveBurr Ridge, IL 60527-6946 · (630) 650-8392 · Fax (630) 317-3310
Phone(630) 650-8392
Fax(630) 317-3310
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1205843653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036-076743
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
7803 DREW AVE, Burr Ridge, IL 60527
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Other Names 1

Professional Name (2)Dr. Kieran Joseph Nicholson M.d.

Other Identifiers 5

Medicaid036076743IL
Medicare PINL60732IL
Other110216107IL · Railroad Medicare Id
Other036076743IL · Bc/bs
Medicare UPINE66669IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kieran Joseph Nicholson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kieran Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension NE Wisconsin, Inc
160 mi
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1912527193 (920) 223-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kieran Nicholson's NPI number?

The NPI number for Kieran Nicholson is 1205843653. It was assigned to this individual provider in the NPPES registry on August 1, 2006. The provider is also known as Dr. Kieran Joseph Nicholson M.D..

Where is Kieran Nicholson located?

Kieran Nicholson practices at 7803 Drew Ave, Burr Ridge, IL 60527. The listed phone number is (630) 650-8392.

What is Kieran Nicholson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kieran Nicholson enrolled in Medicare?

Yes. Kieran Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kieran Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kieran Nicholson reassigns Medicare benefits to Ascension NE Wisconsin, Inc (Oshkosh, WI). 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 Kieran Nicholson'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 Kieran Nicholson was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.