Individual provider Active NPI

Devan Keesling, AU.D, CCC-A

  • Audiologist
  • Lake Forest, IL
National Provider Identifier
1467951731
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001660 Issued in IL
Practice address
800 N Westmoreland Rd Ste LL30
Lake Forest, IL 60045
Phone
(847) 535-6114
Fax
(847) 535-7809
NPI assigned
Feb 1, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001660 IL Primary

Addresses

Primary practice location

800 N Westmoreland Rd Ste LL30
Lake Forest, IL 60045

Mailing address

462 W Half Day Rd
Buffalo Grove, IL 60089-6555

Other practice location 1

462 W Half Day Rd
Buffalo Grove, IL 60089-6555
Phone (847) 276-2735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180215001178 IL Practitioner - Qualified Audiologist 6608136411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Hearing Care, P.C.Group PAC ID 4688674237, 2 clinicians

Practice addresses (Care Compare)

1475 E Belvidere Rd
Grayslake, IL 60030-2012

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

70 Landover Pkwy
Suite B
Hawthorn Woods, IL 60047-7569
Phone (847) 276-2735

800 N W Moreland Rd
Suite 102
Lake Forest, IL 60045-1687
Phone (847) 582-2104

800 N Westmoreland Rd
Suite 201
Lake Forest, IL 60045-1687
Phone (847) 535-7647

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001660ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 7, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 7, 2020 Accepting new patients
Complete Hearing Care, P.C. Audiologist CurrentSince Feb 2, 2018 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

462 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 276-2735

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1475 E Belvidere Rd
Ste 201
Grayslake, IL 60030
Phone (847) 295-1114

70 Landover Pkwy
Ste B
Hawthorn Woods, IL 60047
Phone (847) 276-2735

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

800 N Westmoreland Rd
Ste 102
Lake Forest, IL 60045
Phone (847) 295-1300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1467951731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WESTMORELAND RD STE LL30",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-535-6114",
            "fax_number": "847-535-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 W Half Day Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600896555",
            "country_code": "US",
            "telephone_number": "847-276-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLING",
        "first_name": "DEVAN",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.