Kevin C Carney X, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036080283 Issued in IL

Practice address

6400 Shafer CT Ste 600
Rosemont, IL 60018-4988

Phone

(847) 983-8257

NPI assigned

Jul 5, 2006

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.carney.1@20978.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angels Grace Hospice, LLC

  • Community Based Hospice Care Agency
  • Bolingbrook, IL
  • NPI 1962782995
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1013948470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303323",
            "telephone_number": "773-706-3821",
            "fax_number": "773-685-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 600",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184988",
            "telephone_number": "847-983-8257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Quadrangle Dr",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604403454",
            "country_code": "US",
            "telephone_number": "888-444-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "X",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036080283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve James Betzelos
• Matthew Brod, RN
• Nina Budhwani, NP
• Tennesee Iris Ramos Carayo, PT
• Caring Touch Inc. (Caring Touch Home Health)
• Chicago Aesthetic Surgery Institute, Inc.
• Chicago Rehabilitation Collective LLC
• Chiropractic and Strength Training, Inc.
• Albert S Cho, PHARMD
• Jason Crane, D.O.

• Internal Medicine Physician in Rosemont, IL
• Providers in Rosemont, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.