Active NPI
Robert G Kohn, DO
- Neurology Physician
- McHenry, IL
National Provider Identifier
1003954066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036-083810
- Practice address
- 649 Ridgeview Dr
McHenry, IL 60050-7012 - Phone
- (815) 344-7951
- Fax
- (815) 759-3807
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036-083810 | IL | Primary |
Addresses
Primary practice location
649 Ridgeview Dr
McHenry, IL 60050-7012
Mailing address
5404 W Elm St
Ste Q
McHenry, IL 60050-4007
Phone (815) 344-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5626836 | Other | IL | BCBS-NEUROLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5404 W Elm St
Suite Q
McHenry, IL 60050-4007
Phone (815) 344-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-083810 | IL | MD | Neurology Physician |
| 036083810 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinty Chiropractic and Wellnes LTD | Past | Accepting new patients |
Interoperability endpoints
- rkohn@kmg.gwaydirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- McHenry, IL
- NPI 1639263197
-
- Chiropractor
- McHenry, IL
- NPI 1700994407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1003954066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 W ELM ST",
"address_2": "STE Q",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504007",
"telephone_number": "815-344-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 RIDGEVIEW DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600507012",
"telephone_number": "815-344-7951",
"fax_number": "815-759-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036-083810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NEUROLOGY",
"identifier": "5626836",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.