NPIMap

Individual provider Active NPI

Dennis F. Kellar, MD

  • Pulmonary Disease Physician
  • Algonquin, IL
National Provider Identifier
1679683866
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036-104219 Issued in IL
Practice address
1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone
(815) 477-7350
Fax
(815) 477-7351
NPI assigned
Aug 30, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036-104219 IL Primary

Addresses

Primary practice location

1340 Ryan Pkwy
Algonquin, IL 60102-4527

Mailing address

1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone (815) 477-7350

Other identifiers 2

IdentifierTypeStateIssuer
K48748OtherPTAN
036104219MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dkellar234674@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040416000640 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8022003318 Reassigns benefits to 1 organization
I20210920000700 IN Practitioner - Critical Care (Intensivists) 8022003318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Pulmonary and Sleep Medicine SCGroup PAC ID 0749362754, 2 clinicians

Practice addresses (Care Compare)

1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone (815) 477-7350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104219ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Favia Primary Care, SC CurrentSince Sep 1, 2018 Accepting new patients
Northwest Pulmonary and Sleep Medicine SC CurrentSince Oct 1, 2007 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Parkview Health System, Inc. CurrentSince Sep 20, 2021 Accepting new patients
Global Care S.C. PastSince Sep 14, 2025 Accepting new patients
The Sleep and Wellness Center, PC Pulmonary Disease Past Accepting new patients
Comprehensive Urologic Care S C Past Accepting new patients

Locations

1340 Ryan Pkwy
Algonquin, IL 60102
Phone (815) 276-0150

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 477-7350

360 Station Dr
Ste 230
Crystal Lake, IL 60014
Phone (815) 477-7350

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

Interoperability endpoints

  • Direct secure messaging: dennis.kellar@nwps.eclinicaldirectplus.com
  • Direct secure messaging: dkellar234674@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECGEBD

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1679683866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "DENNIS",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-104219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K48748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104219",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkellar234674@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601024527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601024527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.