Individual provider Active NPI

Kathleen Marie Naegele, D.O.

  • Hematology & Oncology Physician
  • Champaign, IL
National Provider Identifier
1407004773
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
005573 Issued in AZ
Practice address
101 W University Ave
Champaign, IL 61820-3909
Phone
(217) 366-1299
NPI assigned
Aug 28, 2008
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 005573 AZ Primary

Addresses

Primary practice location

101 W University Ave
Champaign, IL 61820-3909

Mailing address

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knargelemd293919@CarleHieDirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20090819000585 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0446304810 Reassigns benefits to 3 organizations
I20260109003001 IA Practitioner - Hematology/Oncology 0446304810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Chicago College of Osteopathy, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Clinic, PLLCGroup PAC ID 7719899319, 219 clinicians
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200

1221 Pleasant St
Des Moines, IA 50309-1423

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005573AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jan 12, 2026 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jan 12, 2026 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 11, 2017 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 11, 2017 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine CurrentSince Dec 11, 2017 Accepting new patients
Christie Clinic, PLLC Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Tri-State Orthopedic Institute, P.C. Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

4117 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 241-1827

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-1108

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: knargelemd293919@carlehiedirect.net
  • Direct secure messaging: stephen.dick@directaddress.net

Organizations & group practices 8

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 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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1407004773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-366-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-366-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEGELE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "005573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knargelemd293919@CarleHieDirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 W University Ave",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618203909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.