Active NPI
Stephen L Kindred, M.D.
- Internal Medicine Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036076957
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5715384 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036076957 | Medicaid | IL |
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
Enrollment records 1
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
- Advanced Physical Therapy Services, LTD.
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
- Elara Caring V
- Osf Home Health-Eastern Region
- Carle Bromenn Medical Center
- St Joseph Medical Center
- Saint Francis Medical Center
- Saint James Hospital
- Warner Hospital and Health Services
- Bromenn Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-076951 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Christie Clinic, PLLC | Internal Medicine | Current | 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
- stephen.kindred@medhills.eclinicaldirectplus.com
- 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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Peoria, IL
- NPI 1114018439
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Normal, IL
- NPI 1306867866
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- Critical Access Hospital
- Clinton, IL
- NPI 1235211301
-
- Home Health Agency
- Springfield, IL
- NPI 1780823377
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- Home Health Agency
- Bloomington, IL
- NPI 1851330203
-
- Home Health Agency
- Champaign, IL
- NPI 1891780615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.