Individual provider Active NPI

Kenneth Schoenig, MD

  • Gastroenterology Physician
  • Bloomington, IL
National Provider Identifier
1033147848
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036089684 Issued in IL
Practice address
1228 Towanda Ave Ste 1
Bloomington, IL 61701-3469
Phone
(309) 454-5900
Fax
(309) 454-2820
NPI assigned
Jun 29, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036089684 IL Primary

Addresses

Primary practice location

1228 Towanda Ave Ste 1
Bloomington, IL 61701-3469

Mailing address

1228 Towanda Ave Ste 1
Bloomington, IL 61701-3469
Phone (309) 454-5900

Other identifiers 1

IdentifierTypeStateIssuer
036089684MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000605 IL Practitioner - Gastroenterology 2264483916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Chicago, Pritzker School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 4800
Normal, IL 61761-3595
Phone (309) 454-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Feb 1, 2022 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1228 Towanda Ave
Ste 1
Bloomington, IL 61701
Phone (309) 454-5900

1709 Tullamore Ave
Ste C
Bloomington, IL 61704
Phone (309) 454-5900

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

1302 Franklin Ave
Ste 4800
Normal, IL 61761
Phone (309) 454-5900

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1033147848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 TOWANDA AVE STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013469",
            "telephone_number": "309-454-5900",
            "fax_number": "309-454-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 TOWANDA AVE STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013469",
            "telephone_number": "309-454-5900",
            "fax_number": "309-454-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENIG",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036089684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.