NPIMap

Individual provider Active NPI

Edward F McKenney, D.O.

  • Family Medicine Physician
  • Hamilton, IL
National Provider Identifier
1457334591
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036058009 Issued in IL
Practice address
1471 Keokuk St
Hamilton, IL 62341-1135
Phone
(217) 847-3383
Fax
(217) 847-2832
NPI assigned
Nov 22, 2005
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036058009 IL Primary

Addresses

Primary practice location

1471 Keokuk St
Hamilton, IL 62341-1135

Mailing address

1471 Keokuk St
PO Box 312
Hamilton, IL 62341-1135
Phone (217) 847-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000306 IL Practitioner - General PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Emergency MedicinePractitioner - Family Practice 8325942782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine, Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians

Practice addresses (Care Compare)

1454 N County Rd
Suite 2050
Carthage, IL 62321-0160
Phone (217) 357-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association CurrentSince Jul 1, 2000 Accepting new patients
Memorial Hospital Association CurrentSince Dec 1, 2014 Accepting new patients
Memorial Hospital Association Past Accepting new patients
Advance Physical Therapy of Hancock County LLC PastSince Apr 30, 2003 Accepting new patients

Locations

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

402 S Adams St
Carthage, IL 62321
Phone (217) 357-3131

630 Locust St
Carthage, IL 62321
Phone (217) 357-2173

1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383

Interoperability endpoints

  • Direct secure messaging: emckenney584764@direct.unitypoint.org

Organizations & group practices 7

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 8

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1457334591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 KEOKUK ST",
            "address_2": "PO BOX 312",
            "city": "HAMILTON",
            "state": "IL",
            "postal_code": "623411135",
            "telephone_number": "217-847-3383",
            "fax_number": "217-847-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 KEOKUK ST",
            "city": "HAMILTON",
            "state": "IL",
            "postal_code": "623411135",
            "telephone_number": "217-847-3383",
            "fax_number": "217-847-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036058009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, IL

Sources for this page

Verify at the official NPI Registry.