Active NPI
Kenneth N Cline, M.D.
- Nephrology Physician
- Flossmoor, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Practice address
- 19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2125 - Phone
- (708) 957-8750
- Fax
- (708) 957-8602
- NPI assigned
- Sep 14, 2006
- Last updated
- Mar 25, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2125
Mailing address
19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2125
Phone (708) 957-8750
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Illinois Medical College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300
19550 Governors Hwy
Suite 3000
Flossmoor, IL 60422-2150
Phone (708) 915-8660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucm Medical Group Sub, LLC | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
27702 Network Pl
Chicago, IL 60673
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
Interoperability endpoints
- kcline202152@uchospital.direct-ci.com
- kcline5980@direct.franciscanalliance.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Steger
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Steger, IL
- NPI 1043510217
Dialysis facility
-
dba Country Hills Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Country Club Hills, IL
- NPI 1073532420
Dialysis facility
-
dba Hazel Crest Renal Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hazel Crest, IL
- NPI 1467478586
Dialysis facility
-
dba RCG South Suburban
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olympia Fields, IL
- NPI 1144251158
Dialysis facility
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1508961517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 GOVERNORS HWY",
"address_2": "SUITE 2000",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222125",
"telephone_number": "708-957-8750",
"fax_number": "708-957-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 GOVERNORS HWY",
"address_2": "SUITE 2000",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222125",
"telephone_number": "708-957-8750",
"fax_number": "708-957-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "KENNETH",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.
- 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.