Individual provider Active NPI

John A Kefer, M.D.

  • Cardiovascular Disease Physician
  • Geneva, IL
National Provider Identifier
1477549103
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036050847 Issued in IL
Practice address
351 Delnor Dr
Geneva, IL 60134-4220
Phone
(630) 232-0280
Fax
(630) 232-3895
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036050847 IL Primary

Addresses

Primary practice location

351 Delnor Dr
Geneva, IL 60134-4220

Mailing address

351 Delnor Dr
Geneva, IL 60134-4220
Phone (630) 232-0280

Other identifiers 3

IdentifierTypeStateIssuer
036050847MedicaidIL
206147052OtherILMEDICARE PTAN (INDIVIDUAL)
206147OtherILMEDICARE PTAN (GROUP)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040929000937 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870496862 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036050847ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Jun 13, 2009 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central Dupage Hospital Association CurrentSince Jun 13, 2009 Accepting new patients
Central Dupage Physician Group CurrentSince Feb 18, 2011 Accepting new patients
Central Dupage Physician Group CurrentSince Feb 18, 2011 Accepting new patients
Delnor Community Hospital CurrentSince Jan 1, 1980 Accepting new patients

Locations

Dept 4698
Carol Stream, IL 60122

Dept 5777
Carol Stream, IL 60122

302 Randall Rd
Ste 106
Geneva, IL 60134
Phone (630) 232-7200

302 Randall Rd
Ste 304
Geneva, IL 60134
Phone (630) 208-6775

304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610

351 Delnor Dr
Ste 100
Geneva, IL 60134
Phone (630) 938-9900

351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1477549103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFER",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036050847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050847",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "206147052",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.