Individual provider Active NPI

Kenneth E Albrecht, M.D.

  • Internal Medicine Physician
  • Bartlett, IL
National Provider Identifier
1366465577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36055068 Issued in IL
Practice address
142 Cedarfield Dr
Bartlett, IL 60103-1313
Phone
(630) 204-0164
Fax
(630) 497-9752
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36055068 IL Primary

Addresses

Primary practice location

142 Cedarfield Dr
Bartlett, IL 60103-1313

Mailing address

142 Cedarfield Dr
Bartlett, IL 60103-1313
Phone (630) 204-0164

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
I20051213000860 IL Practitioner - Internal Medicine 9133140551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Tiffany PT
Suite 105
Bloomingdale, IL 60108-2915
Phone (630) 980-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36055068ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative and Functional Health and Wellness LLC CurrentSince Feb 1, 2026 Accepting new patients
Moore Health SC Past Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

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.

Hospital & facility affiliations 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366465577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CEDARFIELD DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031313",
            "telephone_number": "630-204-0164",
            "fax_number": "630-497-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CEDARFIELD DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031313",
            "telephone_number": "630-204-0164",
            "fax_number": "630-497-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36055068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.