FULLERTON KIMBALL MEDICAL GROUP SC
NPI 1831213081
Clinic/Center - Multi-Specialty in Chicago, IL
About Fullerton Kimball Medical Group Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULLERTON KIMBALL MEDICAL GROUP SC (NPI 1831213081) is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Renlin Xia, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fullerton Kimball Medical Group Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Fullerton Kimball Medical Group Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
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 Fullerton Kimball Medical Group Sc's NPI number?
The NPI number for Fullerton Kimball Medical Group Sc is 1831213081. It was assigned to this organization in the NPPES registry on March 16, 2007.
Where is Fullerton Kimball Medical Group Sc located?
Fullerton Kimball Medical Group Sc is located at 3412 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 235-8000.
What is Fullerton Kimball Medical Group Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Fullerton Kimball Medical Group Sc enrolled in Medicare?
Yes. Fullerton Kimball Medical Group Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fullerton Kimball Medical Group Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Fullerton Kimball Medical Group Sc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Anesthesiology (3) and Internal Medicine (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fullerton Kimball Medical Group Sc was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Fullerton Kimball Medical Group Sc · NPI 1831213081
Multi-Specialty organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1831213081 (Entity type: Organization)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Renlin Xia, PRESIDENT
## Practice location
- **Address:** 3412 W FULLERTON AVE, Chicago, IL 60647-2416
- **Phone:** (773) 235-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Anesthesiology (3), Internal Medicine (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2023
- **Other identifiers:** Other 01635426 (IL); Medicaid 036088691 4 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1831213081) · Data from the CMS NPPES public registry.