Individual provider Active NPI

Daniel T Kuesis, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
National Provider Identifier
1679573240
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036-106102 Issued in IL
Practice address
555 Biesterfield Rd
Elk Grove Village, IL 60007-3306
Phone
(847) 690-1776
Fax
(847) 690-1777
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036-106102 IL Primary

Addresses

Primary practice location

555 Biesterfield Rd
Elk Grove Village, IL 60007-3306

Mailing address

555 Biesterfield Rd
Elk Grove Village, IL 60007-3306
Phone (847) 690-1776

Other practice location 1

2380 Lakewood Blvd
Hoffman Estates, IL 60192
Phone (847) 690-1776

Other identifiers 3

IdentifierTypeStateIssuer
036106102MedicaidIL
01637533OtherILBCBSIL
200045103OtherILRAILROAD MEDICARE #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@cosm.exscribedirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20050809000890 IL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6901835016 Reassigns benefits to 2 organizations
I20181224000014 WI Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6901835016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Orthopedics and Sports Medicine LLCGroup PAC ID 1850482712, 13 clinicians

Practice addresses (Care Compare)

119 Elizabeth LN
Genoa City, WI 53128-2124
Phone (847) 690-1776

555 Biesterfield Rd
Elk Grove Village, IL 60007-3306
Phone (847) 690-1776

Hospital & facility affiliations

  • Center of Illinois Home Healthcare, Inc Home health agency, Arlington Heights, IL, CCN 148212
  • Aspire Home Healthcare, LLC Home health agency, Morton Grove, IL, CCN 148139
  • Advancare Healthcare Services Home health agency, Lombard, IL, CCN 147814
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102
  • Encore Village Nursing home, Schaumburg, IL, CCN 145341

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement74
Knee replacement96
Lower limb (leg) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-106102ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sny Care of Ny, LLC CurrentSince Mar 17, 2024 Accepting new patients
Core Orthopedics & Sports Medicine LLC Sports Medicine CurrentSince Jul 30, 2007 Accepting new patients
Core Orthopedics & Sports Medicine LLC Past Accepting new patients

Locations

555 Biesterfield Rd
Elk Grove Vlg, IL 60007
Phone (847) 690-1776

510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100

2380 Lakewood Blvd
Hoffman Estates, IL 60192
Phone (847) 690-1776

102 Woodmont Blvd
Ste 350
Nashville, TN 37205
Phone (615) 297-1020

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

Interoperability endpoints

  • Direct secure messaging: daniel.kuesis.1@9398.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1679573240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073306",
            "telephone_number": "847-690-1776",
            "fax_number": "847-690-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073306",
            "telephone_number": "847-690-1776",
            "fax_number": "847-690-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Lakewood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "60192",
            "country_code": "US",
            "telephone_number": "847-690-1776",
            "fax_number": "847-690-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUESIS",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036-106102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106102",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01637533",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "200045103",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@cosm.exscribedirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "555 Biesterfield Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.