Individual provider Active NPI

Krystyna D. Kiel, M.D.

  • Radiation Oncology Physician
  • Savannah, GA
National Provider Identifier
1679549349
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036065696 Issued in IL
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 350-8490
Fax
(912) 350-8819
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 061107 GA
Radiation Oncology Physician 2085R0001X 036065696 IL Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

500 S Paulina St
Chicago, IL 60612-3804
Phone (312) 942-5751

Other identifiers 1

IdentifierTypeStateIssuer
036065696MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060608000256 IL Practitioner - Radiation Oncology 9638181795 Reassigns benefits to 6 organizations
I20250909004525 NC Practitioner - Radiation Oncology 9638181795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Massachusetts Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Practice addresses (Care Compare)

1163 W Stephenson St
Freeport, IL 61032-4866
Phone (815) 599-7000

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036065696ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Aug 1, 2015 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Riverside Health System Current Accepting new patients
Freeport Memorial Hospital CurrentSince Mar 28, 2018 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Mount Sinai Community Foundation CurrentSince Aug 1, 2015 Accepting new patients
Osf Healthcare System CurrentSince Sep 7, 2021 Accepting new patients
Osf Healthcare System CurrentSince Sep 7, 2021 Accepting new patients
DLP Harris Regional Hospital LLC CurrentSince Jul 1, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Riverside Health System CurrentSince Jan 8, 2018 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 7, 2021 Accepting new patients
Ludag LLC Dba Cancer Treatment Group Radiation Oncology Past Accepting new patients
Osf Healthcare System Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Coastal Cancer Care, LLC Radiation Oncology Past Accepting new patients

Locations

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

200 Riverside Dr
Bourbonnais, IL 60914
Phone (815) 929-0010

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

806 N Logan Ave
Danville, IL 61832
Phone (217) 431-4290

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

1163 W Stephenson St
Freeport, IL 61032
Phone (815) 233-1433

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

375 N Wall St
Ste P320
Kankakee, IL 60901
Phone (815) 928-5064

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

80 Healthcare Dr
Ste 201
Sylva, NC 28779
Phone (828) 586-7451

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1679549349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123804",
            "telephone_number": "312-942-5751",
            "fax_number": "312-942-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8490",
            "fax_number": "912-350-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "KRYSTYNA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "061107",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036065696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065696",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.