Mark Allan Drendel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036075383 Issued in IL

Practice address

954 West State Street
Sycamore, IL 60118

Phone

(815) 895-9144

Fax

(815) 899-4234

NPI assigned

May 9, 2006

Last updated

Oct 28, 2009By 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 1

Addresses

Other identifiers 1

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

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.

• Prairie Health Care, LTD

  dba Kishwaukee Medical Associates

  • Family Medicine Physician
  • Sycamore, IL
  • NPI 1871718551
  Medicare reassignment NPD
• Prairie Healthcare, LTD

  dba Sandwich Family Practice

  • Family Medicine Physician
  • Sandwich, IL
  • NPI 1497878086
  NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1639128358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENDEL",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036075383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360075383",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialysis of Northern Illinois LLC (Sycamore Dialysis)
• Emily Anne Dienst
• Ashley Nicole Divine, APRN
• Leslie D Doran, FNP
• Teresa Lynne Dorval
• Paul A Dubrick, MD
• Norbert Dudek, MSW
• Emily Christine Dunaj, PA-C
• Thomas S Dwyer, D.P.M.
• Corban Ege, PT,DPT

• Family Medicine Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.