Individual provider Active NPI

Kenneth J Korcek, M.D.

  • Orthopaedic Surgery Physician
  • Rockford, IL
National Provider Identifier
1396850657
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-112330 Issued in IL
Practice address
324 Roxbury Rd
Rockford, IL 61107-5090
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
Aug 20, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-112330 IL Primary

Addresses

Primary practice location

324 Roxbury Rd
Rockford, IL 61107-5090

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Other identifiers 1

IdentifierTypeStateIssuer
036-112330MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Korcek.Kenneth@ro.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041115000942 IL Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7719941210 Reassigns benefits to 2 organizations
I20250625002039 WI Practitioner - Orthopedic Surgery 7719941210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100

1401 E 12TH St
Mendota, IL 61342-9216
Phone (815) 227-5600

1405 E 12TH St
Mendota, IL 61342-9010
Phone (815) 538-7200

1550 N Randall Rd
Elgin, IL 60123-7876
Phone (815) 398-9491

1614 E Norris Dr
OBGYN and Anti Coag
Ottawa, IL 61350-3681
Phone (815) 431-0435

2902 McFarland Rd
Suite 300
Rockford, IL 61107-6801
Phone (815) 398-9491

324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 398-9491

5875 E Riverside Blvd
Rockford, IL 61114-4937

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

920 W St
Suite 218 Ortho
Peru, IL 61354-2769
Phone (815) 431-5746

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112330ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2004 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2021 Accepting new patients
Orthomidwest, PLLC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Rockford Orthopedic Associates, LTD. Dba Orthoillinois Anesthesia PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Rockford Orthopedic Associates, LTD PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients
Orthomidwest, PLLC PastSince Jan 1, 1990 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339

535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717

5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270

Interoperability endpoints

  • Direct secure messaging: jwong687170@direct.uwhealth.org
  • Direct secure messaging: kenneth.korcek@ro.eclinicaldirectplus.com
  • Direct secure messaging: kkorcek907997@direct.uwhealth.org
  • Direct secure messaging: korcek.kenneth@ro.eclinicaldirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1396850657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075090",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCEK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-112330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-112330",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Korcek.Kenneth@ro.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "eCW email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 Roxbury Rd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611075090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.