Individual provider Active NPI

Kenneth Finkelstein, D.O.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Mokena, IL
National Provider Identifier
1245222165
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
036089089 Issued in IL
Practice address
10260 191St St
Ste. 100
Mokena, IL 60448-8801
Phone
(708) 425-1907
Fax
(708) 469-4358
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036089089 IL
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 036089089 IL Primary

Addresses

Primary practice location

10260 191St St
Ste. 100
Mokena, IL 60448-8801

Mailing address

10260 191St St
Ste. 100
Mokena, IL 60448-8801
Phone (708) 425-1907

Other practice location 1

9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Phone (708) 425-1907

Other identifiers 1

IdentifierTypeStateIssuer
036089089MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whc@providea.gwaydirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000260 IL Practitioner - Obstetrics/Gynecology 0749240133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providea Health Partners LLCGroup PAC ID 5698904878, 7 clinicians

Practice addresses (Care Compare)

9730 S Western Ave
Suite 700
Evergreen Park, IL 60805-2814
Phone (708) 425-1907

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as individual
Quality
93.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089089ILMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Lota Healthcare LTD Obstetrics & Gynecology CurrentSince Jan 26, 2022 Accepting new patients
Providea Health Partners, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2014 Accepting new patients

Locations

9730 S Western Ave
Ste 100
Evergreen Pk, IL 60805
Phone (708) 422-9942

9730 S Western Ave
Ste 700
Evergreen Pk, IL 60805
Phone (708) 425-1907

10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.70301

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.

Hospital & facility affiliations 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1245222165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 191ST ST",
            "address_2": "STE. 100",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488801",
            "telephone_number": "708-425-1907",
            "fax_number": "708-469-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 191ST ST",
            "address_2": "STE. 100",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488801",
            "telephone_number": "708-425-1907",
            "fax_number": "708-469-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 S Western Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052814",
            "country_code": "US",
            "telephone_number": "708-425-1907",
            "fax_number": "708-422-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036089089",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036089089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089089",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whc@providea.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR secure mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR secure mail",
            "address_1": "10260 191st St",
            "address_2": "Ste. 100",
            "city": "Mokena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604488801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.