SARAH JAHNS KIDDER (DO) – Family Medicine Physician, NPI 1629204961

SARAH JAHNS KIDDER (DO) is a healthcare provider. based in Evanston, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036128700 (IL). The NPI Number for SARAH JAHNS KIDDER (DO) is 1629204961

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SARAH JAHNS KIDDER (DO)
NPI
1629204961
Phone
(847) 570-2040
Address
2650 RIDGE AVE. SUITE 1223
Enumeration Date
1 June 2009
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
4688821309
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20120830000500
Address ID
IL602011700EV2650XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

Provider Addresses for SARAH JAHNS KIDDER (DO)

  • 2650 RIDGE AVE. SUITE 1223

    EVANSTON, IL 602011718

    Phone: (847) 570-2040

    Type: Mailing

  • 135 N Oak St

    Hinsdale, IL 605213860

    Phone: (630) 856-8900

    Fax: (630) 856-8933

    Type: Location

  • 800 E 55th St

    Chicago, IL 60615

    Phone: (773) 702-0660

    Type: Location

  • North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 605213860

    Phone: (630) 856-8900

    Fax: (630) 856-8933

    Type: Mailing

  • Friend's Center, 800, East 55th Street, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60615, United States

    CHICAGO, IL 60615

    Phone: (773) 702-0660

    Type: Location

  • 3329 75TH ST.

    SUITE 202

    WOODRIDGE, IL 605172700

    Phone: (630) 646-6750

    Fax: (630) 548-7654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $892.

Total Amount is formed as General ($892) + Research ($0) + Ownership ($0) = $892.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($156).

Total Amount

$892

General + Research + Ownership

Payments

33

Total payment records

General Amount

$892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-08-30

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
I20120830000500IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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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
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
Allergy/Immunology, Internal MedicineIL
Physician AssistantIL
Hematology/Oncology, Internal MedicineMO
Nurse PractitionerIL
Gynecological Oncology, Obstetrics/GynecologyIL

Reviews

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Frequently asked questions

Can I verify SARAH JAHNS KIDDER (DO) with an NPI only?
You can start verification with NPI 1629204961 for SARAH JAHNS KIDDER (DO), then check state licensing separately.
Does the file indicate SARAH JAHNS KIDDER (DO) is practicing under active NPI?
Directory data currently reports SARAH JAHNS KIDDER (DO) as active.
What healthcare role does SARAH JAHNS KIDDER (DO) hold?
Scheduling teams often label SARAH JAHNS KIDDER (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SARAH JAHNS KIDDER (DO) based?
SARAH JAHNS KIDDER (DO) is tied to Evanston, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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