NPIMap

Organization Active NPI

Northwest Pulmonary and Sleep Medicine SC

  • Legal Medicine
  • Algonquin, IL
National Provider Identifier
1881878221
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
036-104219 Issued in IL
Legal business name
NORTHWEST PULMONARY AND SLEEP MEDICINE SC
Practice address
1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone
(815) 477-7350
Fax
(815) 477-7351
NPI assigned
Dec 20, 2007
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Dennis Franklin Kellar, MDNPI 1679683866
Title
Owner/Physician
Phone
(815) 477-7350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 036-104219 IL Primary

Addresses

Primary practice location

1340 Ryan Pkwy
Algonquin, IL 60102-4527

Mailing address

1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone (815) 477-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000263 IL Part B Supplier - Clinic/Group Practice 0749362754 Receives reassigned benefits from 8 practitioners
Practice locations: Lincolnshire, IL; Long Grove, IL; McHenry, IL; Elk Grove VLG, IL; Rolling Meadows, IL; Schaumburg, IL; South Barrington, IL; Streamwood, IL…

National Provider Directory

National Provider Directory

Locations

1345 Ryan Pkwy
Algonquin, IL 60102
Phone (847) 531-5911

1345 Ryan Pkwy
#2140
Algonquin, IL 60102
Phone (815) 477-7350

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

360 Station Dr
Ste 230
Crystal Lake, IL 60014
Phone (815) 477-7350

360 Station Dr
Ste 235
Crystal Lake, IL 60014

4 Executive Ct
Ste 4
South Barrington, IL 60010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1881878221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PULMONARY AND SLEEP MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "815-477-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036-104219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.