DR. KIMBERLY THERESE BROWN (M.D.) – Pediatrics Physician, NPI 1093928285
Pediatrics Physician
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NPPES metrics only — not quality of care.
667 PEDIATRIC MEDICINE in IN
Provider Addresses for DR. KIMBERLY THERESE BROWN (M.D.)
11115 Parkview Plaza Dr
Fort Wayne, IN 468451701
Phone: (260) 266-5400
Fax: (260) 266-5715
Type: Location
2329-2331, South Michigan Avenue, Near South Side, South Loop, Chicago, Cook County, Illinois, 60616, United States
CHICAGO, IL 606162104
Phone: (312) 265-1244
Fax: (312) 265-1174
Type: Mailing
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
4600 Ambassador Caffery Pkwy
Lafayette, LA 705086902
Phone: (337) 470-2605
Fax: (337) 470-4595
Type: Location
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (888) 824-0200
Type: Location
2400 S Avenue A
Yuma, AZ 853647127
Phone: (928) 344-2000
Type: Location
8541 S State St Ste 1B
Chicago, IL 606195664
Phone: (773) 994-0939
Type: Location
2650 Ridge Ave
Evanston, IL 602011700
Phone: (847) 570-1027
Type: Location
8300 Constantin Blvd
Baton Rouge, LA 708093489
Phone: (225) 374-1410
Fax: (225) 374-1616
Type: Location
2329 S Michigan Ave
Chicago, IL 60616
Phone: (312) 265-1244
Fax: (312) 265-1174
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: 2025-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170705003146 | I | Pediatric Medicine | IL | TBD |
| I20190220002200 | I | Pediatric Medicine | IA | TBD |
| I20251229001279 | I | Pediatric Medicine | AZ | 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 46845)
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