NPIMap

Individual provider Active NPI

Dennis Keane, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Aurora, IL
National Provider Identifier
1073681136
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.086694 Issued in IL
Practice address
2020 Ogden Ave
Aurora, IL 60504-5894
Phone
(630) 909-6470
Fax
(630) 585-0042
NPI assigned
Nov 30, 2006
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036.086694 IL Primary

Addresses

Primary practice location

2020 Ogden Ave
Aurora, IL 60504-5894

Mailing address

26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone (630) 909-7000

Other identifiers 2

IdentifierTypeStateIssuer
363236791OtherILTAX ID #
036086694MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000010 IL Practitioner - Physical Medicine and Rehabilitation 2961544713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
46.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.086694ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marianjoy Rehabilitation Hospital & Clinics Inc. Current Accepting new patients
Community Home Physicians, LLC Physical Medicine & Rehabilitation CurrentSince Oct 5, 2023 Accepting new patients

Locations

2020 Ogden Ave
Ste 365
Aurora, IL 60504
Phone (331) 231-2886

17W682 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 268-1394

17W682 Butterfield Rd
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 268-7800

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-8934

26W171 Roosevelt Rd
Wheaton, IL 60187
Phone (630) 462-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1073681136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-7000",
            "fax_number": "630-909-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-909-6470",
            "fax_number": "630-585-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.086694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "363236791",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086694",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.