DR. KRISTIN W HOUSEKNECHT (M.D.) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1538489869
Preventive Medicine/Occupational Environmental Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 GENERAL PRACTICE in IL
Provider Addresses for DR. KRISTIN W HOUSEKNECHT (M.D.)
323 E WACKER DR
#118
CHICAGO, IL 606015282
Phone: (813) 495-2785
Type: Mailing
1074 W TAYLOR ST UNIT 319
CHICAGO, IL 606074336
Phone: (813) 495-2785
Type: Mailing
614 W MONROE ST
CHICAGO, IL 606613654
Phone: (312) 258-0700
Type: Location
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 463606312
Phone: (219) 873-2919
Fax: (219) 873-2909
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: 2018-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161121000673 | I | General Practice | IN | TBD |
| I20180509002046 | I | General Practice | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| Family Practice, General Surgery, Preventive Medicine | IL | |
| - | IL | |
| - | MI | |
| Physician Assistant | UT | |
| Internal Medicine | ME | |
| General Surgery, Vascular Surgery | KY | |
| Family Practice | IL |
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