Individual provider Active NPI

Delaney Koehler, M.D.

  • Family Medicine Physician
  • New Lenox, IL
National Provider Identifier
1649464652
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036125917 Issued in IL
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

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000601 IL Practitioner - Family PracticePractitioner - Internal Medicine 3274712997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
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 SCGroup PAC ID 0143387431, 9 clinicians

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 Home health agency, New Lenox, IL, CCN 147452
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C&R Medical Group SC Family Medicine CurrentSince Nov 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.