Active NPI
Stacey L McKelvey, MD
- Gastroenterology Physician
- Barrington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 23379
- Practice address
- 200 Fox Glen CT
Barrington, IL 60010-1809 - Phone
- (847) 382-7165
- Fax
- (847) 713-8160
- NPI assigned
- May 10, 2006
- Last updated
- Mar 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 23379 | NE | Primary |
Addresses
Primary practice location
200 Fox Glen CT
Barrington, IL 60010-1809
Mailing address
200 Fox Glen CT
Barrington, IL 60010-1809
Phone (847) 382-7165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036136563 | Other | IL | STATE LICENSE |
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
- Gastroenterology
- Education
- University of Nebraska College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Fox Glen CT
Barrington, IL 60010-1809
Phone (847) 382-7165
Hospital & facility affiliations
- Advocate Good Shepherd Hospital
- Presence Saint Joseph Hospital - Chicago
- Advocate Illinois Masonic Medical Center
- Northwestern Medicine McHenry
- Advocate Sherman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 84 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 141 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George N Atia, M.D., S.C. | Gastroenterology | Current | Accepting new patients |
| Allied Digestive Health, LLC | Gastroenterology | Past | Accepting new patients |
| Princeton Gastroenterology Assoc | Gastroenterology | Past | Accepting new patients |
Locations
200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
5744 N Broadway St
Ste 2
Chicago, IL 60660
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Interoperability endpoints
- stacey.mckelvey@princetongastroassocpa.chartmakerdirect.com
Organizations & group practices 3
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.
-
dba The Illinois Center for Digestive and Liver health
- Gastroenterology Physician
- Barrington, IL
- NPI 1730214271
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Gastroenterology Physician
- Princeton, NJ
- NPI 1396746962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Shepherd Hospital
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1164472312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FOX GLEN CT",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101809",
"telephone_number": "847-382-7165",
"fax_number": "847-713-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FOX GLEN CT",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101809",
"telephone_number": "847-382-7165",
"fax_number": "847-713-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "STACEY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NE",
"license": "23379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036136563",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.