Active NPI
Michael Louis Kerner, MD
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1417054057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9300184
- Practice address
- 14089 Collection Center Dr
Chicago, IL 60693-0140 - Phone
- (919) 479-9993
- Fax
- (919) 479-9996
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9300184 | NC | Primary |
Addresses
Primary practice location
14089 Collection Center Dr
Chicago, IL 60693-0140
Mailing address
3901 N Roxboro St
Suite 701
Durham, NC 27704-2181
Phone (919) 479-9993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8948653 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Sleep Centers, PLLC | Past | Accepting new patients | |
| Atlantic Diagnostic Center PA | Diagnostic Radiology | Past | Accepting new patients |
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients | |
| Atlantic Diagnostic Center PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1255373023
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1275578114
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Wilmington, NC
- NPI 1700067972
-
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417054057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 N ROXBORO ST",
"address_2": "SUITE 701",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042181",
"telephone_number": "919-479-9993",
"fax_number": "919-479-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14089 COLLECTION CENTER DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606930140",
"telephone_number": "919-479-9993",
"fax_number": "919-479-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNER",
"first_name": "MICHAEL",
"middle_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9300184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948653",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.