Kenneth B Bielinski, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036-070977 Issued in IL

Practice address

900 E Durant Ave Apt 113
Aspen, CO 81611-2613

Phone

(815) 919-9233

NPI assigned

May 24, 2006

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bielinski Dermatology Group, LLC

  dba SkinMD, LLC

  • Dermatology Physician
  • Orland Park, IL
  • NPI 1366497554
  Medicare reassignment NPD
• Lasser Dermatology, LLC

  • Dermatology Physician
  • Skokie, IL
  • NPI 1326437039
  NPD Authorized official
• Kirschenbaum Dermatology LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1194279463
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1457306649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E WATERSIDE DR UNIT 3107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014733",
            "telephone_number": "815-919-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DURANT AVE APT 113",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112613",
            "telephone_number": "815-919-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E Waterside Dr Unit 3107",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606014733",
            "country_code": "US",
            "telephone_number": "815-919-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELINSKI",
        "first_name": "KENNETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "BIEL0051223",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-070977",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036-070977",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036-070977",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036-070977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Berkeley, LPC, CACI
• Katherine Susan Berkenbile, PHARMD
• David Berkson, LMT
• Catherine Bernard, M.D.
• Beyond Massage Inc
• BJ Williams RPT Inc (Aspen Sports Medicine)
• Laura Gambini Blocker, M.D.
• James Bolger
• Susan E Borm, MA
• Erica Boulangee, L.AC

• Dermatology Physician in Aspen, CO
• Providers in Aspen, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.