MS. KIMBERLY J HAMMON (MS RD LDN) – Registered Dietitian, NPI 1104083799

MS. KIMBERLY J HAMMON (MS RD LDN) is a healthcare provider. based in Buffalo grove, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS RD LDN. They hold a License No. 164000434 (IL). The NPI Number for MS. KIMBERLY J HAMMON (MS RD LDN) is 1104083799

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY J HAMMON (MS RD LDN)
NPI
1104083799
Phone
(847) 383-5102
Address
1517 MADISON CT N
Enumeration Date
21 May 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
1951472653
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20080624000724
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
khammon103475@direct.nch.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

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Provider Addresses for MS. KIMBERLY J HAMMON (MS RD LDN)

  • 1517, Madison Court North, Aptakisic, Buffalo Grove, Illinois, 60089, United States

    BUFFALO GROVE, IL 600896837

    Phone: (847) 383-5102

    Type: Mailing

  • 1410 N ARLINGTON HEIGHTS RD STE 200

    ARLINGTON HEIGHTS, IL 600044827

    Phone: (847) 618-1640

    Fax: (847) 618-1649

    Type: Mailing

  • North Arlington Heights Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60004, United States

    ARLINGTON HEIGHTS, IL 600044827

    Phone: (847) 618-1640

    Fax: (847) 618-1649

    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: 2008-06-24

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
I20080624000724IRegistered Dietitian Or Nutrition ProfessionalILTBD

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
97803Therapy procedure reassessment for nutrition management, each 15 minutes7523$0
G0108Diabetes outpatient self-management training services, individual, per 30 minutes4920$0
View full utilization report →

Insurance plans in this area (ZIP 60089)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How is MS. KIMBERLY J HAMMON (MS RD LDN) identified in CMS data?
CMS-hosted NPPES data lists MS. KIMBERLY J HAMMON (MS RD LDN) with NPI 1104083799.
Does the file indicate MS. KIMBERLY J HAMMON (MS RD LDN) is practicing under active NPI?
Directory data currently reports MS. KIMBERLY J HAMMON (MS RD LDN) as active.
What healthcare role does MS. KIMBERLY J HAMMON (MS RD LDN) hold?
Scheduling teams often label MS. KIMBERLY J HAMMON (MS RD LDN) under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does MS. KIMBERLY J HAMMON (MS RD LDN) serve?
MS. KIMBERLY J HAMMON (MS RD LDN)'s listing highlights Buffalo Grove, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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