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Dr. Mark E Kiley , DO

Pediatrics β€’ Park Ridge, IL

Active NPI 1639800022 Individual Practitioner Male Practitioner
Practice location in NPPES

1675 Dempster St
Park Ridge, IL 600681110

Call 8473189300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1675 Dempster St

Park Ridge, IL 600681110

Telephone 8473189300
Organization at the Same NPPES Address or Phone
Center For Childrens Digestive Health Facility NPI 1588601942

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Oak Lawn, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2022

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kiley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kiley as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Park Ridge and Illinois

125 active clinicians are listed under Pediatrics with a practice address in Park Ridge, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Park Ridge

0% of these 125 clinicians have the CMS telehealth indicator.

2.4% of these 125 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036.174803

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES PA OT022077

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WI 81935-21

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125.081243

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES WI 81935-21

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20250728003162

Enrollment State Jurisdiction

WI

PECOS Control ID

4587192885

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

4440 W 95th St

Oak Lawn, IL 604532600

Phone: 7086845880

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1740848241

Doctor of Medicine (M.D.)

NPI 1619936143

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location April 06, 2026

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

πŸ“
Updated Business Mailing Address April 06, 2026

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8477232210)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Pediatrics (license number reported to NPPES: PA OT022077)

πŸ“
Updated Practice Location July 18, 2025

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082638558)

πŸ“
Updated Business Mailing Address July 18, 2025

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

πŸ“
Updated Practice Location June 23, 2023

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

πŸ“
Updated Business Mailing Address June 23, 2023

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2023

Pediatrics (license number reported to NPPES: IL 125.081243)

βœ…
NPI Profile Active June 17, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2022

Registered at 5501 OLD YORK RD STE 1, PHILADELPHIA, PA 191413098 (Tel: 2154567890)

πŸ“
Business Mailing Address (Initial Record) June 17, 2022

Registered at 5501 OLD YORK RD STE 1, PHILADELPHIA, PA 191413098 (Tel: 2154567890)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2022

Recorded as MARK KILEY, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Pediatrics (license number reported to NPPES: PA OT022077)

🟒
Initial NPI Registration & Enumeration June 17, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639800022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2022
Last Update: July 14, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Park Ridge

Healthcare providers in Park Ridge

Mailing Address

1675 Dempster St

Park Ridge, IL 600681110

Phone: 8477232210

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.