Kenneth Allen Kuznetsky, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Practice address

5645 W Addison St
Chicago, IL 60634-4403

Phone

(773) 348-4640

Fax

(773) 794-4698

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Rush Medical College of Rush University, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Montclare Dialysis Center Dialysis facility, Chicago, IL, CCN 142649
• Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Community First Medical Center Hospital, Chicago, IL, CCN 140251

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Associates in Nephrology, S.C.

  • Nephrology Physician
  • Chicago, IL
  • NPI 1184694259
  NPD (past)
• Shifa Nephrology Associates LLC

  • Nephrology Physician
  • Chicago, IL
  • NPI 1487955878
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Total Renal Care Inc

  dba Montclare Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1861461030

  Dialysis facility

  Care Compare affiliation Name & address match
• Community First Healthcare of Illinois, Inc

  dba Community First Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033214416
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851461289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 N GENEVA TER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143746",
            "telephone_number": "773-348-4640",
            "fax_number": "773-794-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "773-348-4640",
            "fax_number": "773-794-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNETSKY",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romuald Kuza, O.D.
• Natalya Kuzenkova, APN
• Brian Thomas Kuzich, D.C.
• Alexa Kuziel, MS, RDN, LDN
• Lucas Kuzmanic, DO
• Kaitlin Marie Kuzniar, AU.D.
• Lauren Kuznicki, PA
• Mariia Vladimirovn Kuzovova
• Steven Allen Kvaal, PHD
• William Thomas Kvasnicka, P.A.-C

• Nephrology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.