DR. KRISTIN MARIE EIDE (D.O.) – Family Medicine Physician, NPI 1023454717

DR. KRISTIN MARIE EIDE (D.O.) is a healthcare provider. based in Oak park, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 125.062951 (IL). The NPI Number for DR. KRISTIN MARIE EIDE (D.O.) is 1023454717

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN MARIE EIDE (D.O.)
NPI
1023454717
Phone
(708) 763-1490
Address
1 ERIE CT STE 6160
Enumeration Date
21 May 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2013 (13 years ago)
PAC ID
8224261953
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20170907000817
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for DR. KRISTIN MARIE EIDE (D.O.)

  • 1 ERIE CT STE 6160

    OAK PARK, IL 603022510

    Phone: (708) 763-1490

    Type: Mailing

  • 2020 E 28TH ST

    MINNEAPOLIS, MN 554071394

    Phone: (708) 763-1490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170907000817IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5645$0
36415Insertion of needle into vein for collection of blood sample4433$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
80048Blood test, basic group of blood chemicals (calcium, total)1513$0
View full utilization report →

Insurance plans in this area (ZIP 60302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How do I look up DR. KRISTIN MARIE EIDE (D.O.) by NPI?
Use NPI 1023454717 when you need to reference DR. KRISTIN MARIE EIDE (D.O.) in forms, claims, or directories.
Is DR. KRISTIN MARIE EIDE (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KRISTIN MARIE EIDE (D.O.)?
The page reflects Family Medicine Physician for DR. KRISTIN MARIE EIDE (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KRISTIN MARIE EIDE (D.O.)?
The snapshot lists Oak Park, Illinois for DR. KRISTIN MARIE EIDE (D.O.); download NPPES for the complete set.
What if Oak Park, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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