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KELLY M FITZGERALD M.D.
NPI 1346516689
Pediatrics in Northbrook, IL

Active since March 30, 2012PECOS Enrolled
2215 SANDERS RD STE 105, NORTHBROOK, IL 60062(224) 330-6303(312) 943-6924 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 17, 2017 (2 updates tracked since 2017).

About Kelly M Fitzgerald M.d. NPPES

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

KELLY M FITZGERALD M.D. (NPI 1346516689) is an individual pediatrics provider in Northbrook, Illinois, licensed in California (A148400) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346516689
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY M FITZGERALDCredential: M.D.
Location Address2215 SANDERS RD STE 105Northbrook, IL 60062-6194
Mailing Address2215 Sanders Rd Ste 105Northbrook, IL 60062-6194 · (224) 330-6303 · Fax (312) 943-6924
Phone(224) 330-6303
Fax(312) 943-6924
Sole ProprietorNo
Enumeration DateMarch 30, 2012
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1346516689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A148400✔ Licensed in IL · 036.137701
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2215 SANDERS RD STE 105, Northbrook, IL 60062
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Secondary Practice Locations 2

Location 15525 S Pulaski RdChicago, IL 60629-4400 · Phone (773) 585-1955
Location 23020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-8036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Fitzgerald 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Kelly Fitzgerald's NPI number?

The NPI number for Kelly Fitzgerald is 1346516689. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Kelly Fitzgerald located?

Kelly Fitzgerald practices at 2215 Sanders Rd Ste 105, Northbrook, IL 60062. The listed phone number is (224) 330-6303.

What is Kelly Fitzgerald's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Fitzgerald enrolled in Medicare?

Yes. Kelly Fitzgerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Fitzgerald was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.