Individual provider Active NPI

Kevin Corrigan

  • Emergency Medicine Physician
  • O Fallon, IL
National Provider Identifier
1841385531
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2007-00311 Issued in NC
Practice address
103 N Oak St
O Fallon, IL 62269-1165
Phone
(618) 624-3368
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-115262 IL
Emergency Medicine Physician 207P00000X 2007-00311 NC Primary

Addresses

Primary practice location

103 N Oak St
O Fallon, IL 62269-1165

Mailing address

103 N Oak St
O Fallon, IL 62269-1165

Other identifiers 1

IdentifierTypeStateIssuer
036-115262OtherILLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070803000051 NC Practitioner - Emergency Medicine 3779581798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago Homeopathic Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4821
Phone (704) 384-7976

1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone (743) 230-6697

179 Williamson Rd
Mooresville, NC 28117-6831
Phone (704) 324-3986

185 Williamson Rd
Mooresville, NC 28117-6831
Phone (844) 266-8268

1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041

201 NC Hwy 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035

2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

349 New Leiceser Hwy
Asheville, NC 28806-2046
Phone (828) 463-3238

3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108

4304 Park Rd
Charlotte, NC 28209-2271
Phone (704) 272-3395

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493

5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311

674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418

794 S Main St
Suite B
Kernersville, NC 27284-4074
Phone (336) 904-2317

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115262ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 1, 2022 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Lakeside Integrative Healthcare PC Current Accepting new patients
Wake Forest Emergency Providers CurrentSince Oct 11, 2024 Accepting new patients
Dispatchhealth, PC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 1, 2022 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Oct 1, 2010 Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: kevin.corrigan.1@13869.direct.athenahealth.com
  • Direct secure messaging: kcorrigan1032669@direct.novanthealth.org

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1841385531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N OAK ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N OAK ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691165",
            "telephone_number": "618-624-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-115262",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2007-00311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "036-115262",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.