Kenneth E Albrecht, M.D.
Individual provider Active NPI Internal Medicine Physician · Bartlett, IL
NPI 1366465577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366465577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36055068 (IL)
- Practice address
- 142 Cedarfield Dr
Bartlett, IL 60103-1313 - Phone
- (630) 204-0164
- Fax
- (630) 497-9752
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Integrative and Functional Health and Wellness LLC
Practice addresses (Care Compare)
1 Tiffany PT
Suite 105
Bloomingdale, IL 60108-2915
Phone (630) 980-1400
Hospital & facility affiliations
- Traditions Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000860 | IL | Practitioner - Internal Medicine | 9133140551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36055068 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Integrative and Functional Health and Wellness LLC | Current |
Accepting new patients | |
| Moore Health SC | Past | Accepting new patients |
Locations
1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36055068 | IL | Yes |
Addresses
Primary practice location
142 Cedarfield Dr
Bartlett, IL 60103-1313
Mailing address
142 Cedarfield Dr
Bartlett, IL 60103-1313
Phone (630) 204-0164
Other providers in Bartlett, IL
- Ages & Stages Therapy, PC
- Carmen E Aguirre
- Palosha Ahmed
- Kevin William Ahrens
- Albert Mategrano
- Paul Alegro
- Zoya Naaz Alikhan
- Allied Professionals Health Care,LLC
- Hannah Alvis-Bastida
- Nicole Ambrogio
All providers in Bartlett, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.