Active NPI
Brenda A. Kube, M.D.
- Family Medicine Physician
- Le Roy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 911 S Chestnut St
Le Roy, IL 61752-1894 - Phone
- (309) 962-2081
- Fax
- (309) 962-9021
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
911 S Chestnut St
Le Roy, IL 61752-1894
Mailing address
PO Box 2451
Bloomington, IL 61702-2451
Phone (309) 268-2172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315769 | Other | BLUE CROSS BLUE SHIELD |
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
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
911 S Chestnut St
Le Roy, IL 61752-1894
Phone (309) 962-2035
Hospital & facility affiliations
- Carle Home Care
- Carle Bromenn Medical Center
- St Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Carle Health Care Incorporated | Family Medicine | Current | Accepting new patients |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2575 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 854-5533
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
29373 Network Pl
Chicago, IL 60673
911 S Chestnut St
Le Roy, IL 61752
Phone (309) 365-8608
1437 E College Ave
Normal, IL 61761
Phone (309) 454-4411
1302 Franklin Ave
Ste 1100
Normal, IL 61761
Phone (309) 268-2727
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- Home Health Agency
- Champaign, IL
- NPI 1891780615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1386660355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2451",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617022451",
"telephone_number": "309-268-2172",
"fax_number": "309-268-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S CHESTNUT ST",
"city": "LE ROY",
"state": "IL",
"postal_code": "617521894",
"telephone_number": "309-962-2081",
"fax_number": "309-962-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBE",
"first_name": "BRENDA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5315769",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Le Roy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.