Active NPI
Kevin B Claffey, M.D.
- Surgery Physician
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Practice address
- 4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156 - Phone
- (618) 242-8480
- Fax
- (618) 242-8499
- NPI assigned
- Jun 24, 2005
- Reactivated
- Jul 1, 2005
- Last updated
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156
Mailing address
4218 Lincolnshire Dr
PO Box 968
Mount Vernon, IL 62864-2156
Phone (618) 242-8480
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Hahnemann University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Ricker Rd
Salem, IL 62881-4263
Phone 61854831948188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Salem Township Hospital | Current | Accepting new patients | |
| Salem Township Hospital | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Surgery | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Surgery | Current | Accepting new patients |
| Good Samaritan Regional Health Center | Past | Accepting new patients | |
| Salem Township Hospital | Past | Accepting new patients | |
| Heartland Rural Healthcare, LLC | Past | Accepting new patients | |
| Salem Township Hospital | Past | Accepting new patients |
Locations
211 S Lincoln Blvd
Centralia, IL 62801
Phone (618) 436-6057
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
3331 W Deyoung St
Ste 109
Marion, IL 62959
Phone (618) 242-0672
3331 W Deyoung St
Ste 305
Marion, IL 62959
Phone (618) 998-7089
3333 W Deyoung St
Ste 205
Marion, IL 62959
Phone (618) 998-1161
3333 W Deyoung St
Ste 302
Marion, IL 62959
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
2 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3970
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
209 Crossroads Pl
Mount Vernon, IL 62864
Phone (618) 242-4554
4218 Lincolnshire Dr
Mount Vernon, IL 62864
Phone (618) 242-8480
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
Interoperability endpoints
- kclaff03@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Surgery
-
dba Deaconess IL Specialty 513 N Main St
- Orthopaedic Surgery Physician
- Anna, IL
- NPI 1134836612
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
dba STH Family Health Care Center
- Rural Health Clinic/Center
- Salem, IL
- NPI 1649830472
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Rehabilitation Hospital Unit
- Mount Vernon, IL
- NPI 1043270424
-
- Family Medicine Physician
- Marion, IL
- NPI 1316009582
-
dba STH Rural Health Clinic
- Rural Health Clinic/Center
- Salem, IL
- NPI 1265467195
-
- Critical Access Hospital
- Salem, IL
- NPI 1689732463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1144226085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 LINCOLNSHIRE DR",
"address_2": "PO BOX 968",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642156",
"telephone_number": "618-242-8480",
"fax_number": "618-242-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 LINCOLNSHIRE DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642156",
"telephone_number": "618-242-8480",
"fax_number": "618-242-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAFFEY",
"first_name": "KEVIN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-02-07",
"deactivation_date": "2005-06-24",
"reactivation_date": "2005-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- James C Chow, M.D.
- Christian Counseling and Family Services
- Christian Social Services of Illinois
- Christopher Greater Area Rural Health Planning Corporation (Mt. Vernon Health & Wellness Center)
- Christopher Greater Area Rural Health Planning Corporation
- Kimberly Rene Claffey, FNP-C
- Steven J Clark, MD
- Jamie Lynn Clarke, MSW
- Jill Clarke, PHARM. D.
- Koletta Rae Clarke, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.
- 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.