LEMIN KIMMY SHIMADA (CRNA) – Anesthesiology Physician, NPI 1699703256
Anesthesiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for LEMIN KIMMY SHIMADA (CRNA)
1775 Dempster St
Park Ridge, IL 600681143
Phone: (847) 723-2210
Fax: (847) 723-3532
Type: Location
5912, North Sauganash Lane, Sauganash Village, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States
CHICAGO, IL 606466043
Phone:
Type: Mailing
MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States
BERWYN, IL 604023429
Phone: (708) 783-3667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($219).
Total Amount
$326
General + Research + Ownership
Payments
8
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714000590 | I | Certified Registered Nurse Anesthetist (Crna) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 24 | 24 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 19 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 17 | 17 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 17 | 17 | $0 |
| 01630 | Anesthesia for other procedure on top of arm bone and shoulder joint | 14 | 14 | $0 |
Insurance plans in this area (ZIP 60068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL | |
| - | IL |
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