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KAITLIN O'DEA
NPI 1629899299
Nurse Practitioner - Pediatrics, Critical Care in Park Ridge, IL

Active since October 17, 2024PECOS Enrolled
1675 W DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5313(847) 723-2325 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlin O'dea NPPES

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

KAITLIN O'DEA (NPI 1629899299) is an individual pediatrics, critical care provider in Park Ridge, Illinois, licensed in Illinois (209.030328) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1629899299
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameKAITLIN O'DEA
Location Address1675 W DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-5313
Fax(847) 723-2325
Sole ProprietorNo
Enumeration DateOctober 17, 2024
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1629899299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in IL · 209.030328
1675 W DEMPSTER ST, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-0353

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin O'dea 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 60068 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.

Other Providers at the Same Location NPPES 15

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

DR. DIANA LILY MITCHELL M.D.
Pediatrics (Pediatric Critical Care Medicine)
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5313
NV ORTHOTICS
Prosthetic/Orthotic Supplier
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (708) 651-2564
DR. AMI PATEL PARIKH M.D.
Pediatrics (Pediatric Infectious Diseases)
1675 W DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 318-9300
FRANK A. VICARI, M.D., LLC
Surgery (Plastic and Reconstructive Surgery)
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 302-9330
MELISSA HARRIS PT
Physical Therapist
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-7252
DR. VARSHA PARSHURAM GHARPURE M.D.
Pediatrics (Pediatric Critical Care Medicine)
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5313
LARISA G BASA
Nurse Practitioner (Family)
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-9470
THOMAS W PORTER DO
Pediatrics
1675 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Kaitlin O'dea's NPI number?

The NPI number for Kaitlin O'dea is 1629899299. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Kaitlin O'dea located?

Kaitlin O'dea practices at 1675 W Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-5313.

What is Kaitlin O'dea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Kaitlin O'dea enrolled in Medicare?

Yes. Kaitlin O'dea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin O'dea was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.