KYLIE BURNHAM
NPI 1407625221
Physician Assistant - Surgical in Arlington Heights, IL

Q: What is Kylie Burnham's NPI number?

The NPI number for Kylie Burnham is 1407625221. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Q: What is Kylie Burnham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Burnham was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 20, 2023PECOS EnrolledAccepts Medicare Assignment

880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005(847) 618-4430(847) 618-0786 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kylie Burnham NPPES

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

KYLIE BURNHAM (NPI 1407625221) is an individual surgical provider in Arlington Heights, Illinois, licensed in Illinois (085010668) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1407625221

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKYLIE BURNHAM

Location Address880 W CENTRAL RD STE 7200Arlington Heights, IL 60005-2382

Mailing Address1040 W Adams St Unit 275Chicago, IL 60607-3080

Phone(847) 618-4430

Fax(847) 618-0786

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2024

Enumeration DateDecember 20, 2023

Last NPPES UpdateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1407625221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085010668

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

880 W CENTRAL RD STE 7200, Arlington Heights, IL 60005

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Secondary Practice Location 1

Location 11040 W Adams St Unit 275Chicago, IL 60607-3080 · Phone (847) 714-6702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kylie Burnham 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.

PECOS PAC ID840731907

PECOS Enrollment IDI20240917003383

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASADULLAH KHAN M.D.

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