Individual provider Active NPI

James R Krieg, MD

  • Family Medicine Physician
  • Chester, IL
National Provider Identifier
1851402390
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-052369 Issued in IL
Practice address
1900 State St
Chester, IL 62233-1116
Phone
(618) 826-2388
Fax
(618) 826-3350
NPI assigned
Aug 31, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-052369 IL Primary

Addresses

Primary practice location

1900 State St
Chester, IL 62233-1116

Mailing address

1900 State St
Chester, IL 62233-1116
Phone (618) 826-2388

Other identifiers 1

IdentifierTypeStateIssuer
036052369MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkrieg@mhchester.cernerdirect.com Health Information Exchange (HIE)

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
I20100216000457 IL Practitioner - Family Practice 1951453646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-052369ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Jun 1, 2015 Accepting new patients
Chester Clinic Professional Corp Family Medicine Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

1900 State St
Chester, IL 62233
Phone (618) 826-2388

2319 Old Plank Rd
Chester, IL 62233
Phone (618) 826-2388

602 W Shawneetown Trl
Steeleville, IL 62288
Phone (618) 865-3382

Interoperability endpoints

  • Direct secure messaging: jkrieg@mhchester.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1851402390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331116",
            "telephone_number": "618-826-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331116",
            "telephone_number": "618-826-2388",
            "fax_number": "618-826-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-052369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052369",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkrieg@mhchester.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1900 State St",
            "city": "Chester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622331116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

Verify at the official NPI Registry.