NPIMap

Individual provider Active NPI

John C Kell, MD

  • Emergency Medicine Physician
  • Eureka, IL
National Provider Identifier
1114987518
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036100702 Issued in IL
Practice address
101 S Major St
Eureka, IL 61530-1246
Phone
(309) 467-2371
Fax
(309) 467-2963
NPI assigned
Mar 28, 2006
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036100702 IL Primary
Family Medicine Physician 207Q00000X 036100702 IL

Addresses

Primary practice location

101 S Major St
Eureka, IL 61530-1246

Mailing address

101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-2371

Other identifiers 1

IdentifierTypeStateIssuer
036100702MedicaidIL

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
I20050221000300 IL Practitioner - Emergency MedicinePractitioner - Family Practice 9436101292 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Emergency Medicine CurrentSince Dec 28, 2025 Accepting new patients
Carle Eureka Hospital Current Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 6, 2010 Accepting new patients
Prairie Emergency Group, LTD. CurrentSince Oct 1, 2005 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corp. CurrentSince Jan 6, 2010 Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients
Proctor Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 902-5300

29373 Network Pl
Chicago, IL 60673

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carle Eureka HospitalEureka, IL, CCN 141309 Hospital Corporate Director Jun 25, 2025
Carle Eureka HospitalEureka, IL, CCN 14Z309 Hospital Corporate Director Jun 26, 2025
Carle Bromenn Medical CenterNormal, IL, CCN 14T127 Hospital Corporate Director Jun 26, 2025
Carle Bromenn Medical CenterNormal, IL, CCN 140127 Hospital Corporate Director Jun 26, 2025
Carle Eureka Family Medicine-EurekaEureka, IL, CCN 148581 Rural health clinic Corporate Director Jun 26, 2025
Carle Eureka Family Medicine - El PasoEl Paso, IL, CCN 148582 Rural health clinic Corporate Director Jun 26, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1114987518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-2371",
            "fax_number": "309-467-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-2371",
            "fax_number": "309-467-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036100702",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, IL

Sources for this page

Verify at the official NPI Registry.