Individual provider Active NPI

Stephen L Kindred, M.D.

  • Internal Medicine Physician
  • Bloomington, IL
National Provider Identifier
1720065584
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036076957 Issued in IL
Practice address
1401 Eastland Dr
Bloomington, IL 61701-3552
Phone
(309) 663-8311
Fax
(309) 661-3390
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036076957 IL Primary

Addresses

Primary practice location

1401 Eastland Dr
Bloomington, IL 61701-3552

Mailing address

101 W University Ave
Champaign, IL 61820-3981
Phone (309) 663-8311

Other identifiers 2

IdentifierTypeStateIssuer
5715384OtherILBLUE CROSS BLUE SHIELD
036076957MedicaidIL

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
I20050802000714 IL Practitioner - Internal Medicine 9537152012 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Clinic, PLLCGroup PAC ID 7719899319, 219 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200

109 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-5180

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

135 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone (309) 664-9104

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Home Care Home health agency, Champaign, IL, CCN 147241
  • Elara Caring V Home health agency, Springfield, IL, CCN 148086
  • Osf Home Health-Eastern Region Home health agency, Bloomington, IL, CCN 147451
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161
  • Warner Hospital and Health Services Hospital, Clinton, IL, CCN 141303
  • Bromenn Regional Medical Center Inpatient rehabilitation facility, Bloomington, IL, CCN 14T127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-076951ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Oct 4, 2025 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Dec 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 1, 2016 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Christie Clinic, PLLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Illinois Cardiac Surgery Associates SC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

1401 Eastland Dr
Bloomington, IL 61701
Phone (309) 661-3360

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

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

29373 Network Pl
Chicago, IL 60673

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

1437 E College Ave
Normal, IL 61761
Phone (309) 454-4411

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: stephen.kindred@medhills.eclinicaldirectplus.com
  • Direct secure messaging: skindredmd369142@carlehiedirect.net

Organizations & group practices 10

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 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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1720065584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203981",
            "telephone_number": "309-663-8311",
            "fax_number": "309-661-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EASTLAND DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013552",
            "telephone_number": "309-663-8311",
            "fax_number": "309-661-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036076957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5715384",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076957",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.