Individual provider Active NPI

Kenneth G Biala, P.T.

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1053411231
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012944 Issued in IL
Practice address
1550 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1458
Phone
(847) 298-3079
Fax
(847) 298-4019
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012944 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1458

Mailing address

1550 N Northwest Hwy
Ste 220
Park Ridge, IL 60068-1459
Phone (847) 298-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080126000131 IL Practitioner - Physical Therapist in Private Practice 1052493236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

1550 N Northwest Hwy
Suite 120
Park Ridge, IL 60068-1458
Phone (847) 298-3079

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute, LLC CurrentSince Aug 1, 2020 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1009 Il Route 22
Ste 2
Fox River Grove, IL 60021
Phone (847) 842-9366

1550 N Northwest Hwy
Ste 220
Park Ridge, IL 60068
Phone (847) 298-7024

1550 N Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 298-3079

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1053411231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "STE 220",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681459",
            "telephone_number": "847-298-7024",
            "fax_number": "847-298-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681458",
            "telephone_number": "847-298-3079",
            "fax_number": "847-298-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALA",
        "first_name": "KENNETH",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.