Active NPI
Delaney Koehler, M.D.
- Family Medicine Physician
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036125917
- Practice address
- 1890 Silver Cross Blvd
Suite 370
New Lenox, IL 60451-9508 - Phone
- (815) 463-3700
- Fax
- (815) 463-3701
- NPI assigned
- Sep 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036125917 | IL | Primary |
Addresses
Primary practice location
1890 Silver Cross Blvd
Suite 370
New Lenox, IL 60451-9508
Mailing address
1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451-9606
Phone (815) 463-3700
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110127000601 | IL | Practitioner - Family Practice | 3274712997 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Candr Medical Group SC
Practice addresses (Care Compare)
1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9606
Phone (815) 463-3700
Hospital & facility affiliations
- Silver Cross Home Health
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C&R Medical Group SC | Family Medicine | Current | Accepting new patients |
Locations
1890 Silver Cross Blvd
Ste 370
New Lenox, IL 60451
Phone (815) 300-1450
1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451
Phone (815) 463-3700
Interoperability endpoints
- delaney.koehler@crg.eclinicaldirectplus.com
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 and National Provider Directory roles.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- Home Health Agency
- New Lenox, IL
- NPI 1265558852
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1649464652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD",
"address_2": "STE 570",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519606",
"telephone_number": "815-463-3700",
"fax_number": "815-463-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD",
"address_2": "SUITE 370",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519508",
"telephone_number": "815-463-3700",
"fax_number": "815-463-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "DELANEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-03",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036125917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.