Active NPI
Dennis Michael Laurence, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036147673
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 756-1521
- NPI assigned
- Jun 8, 2011
- Last updated
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017-00174 | NC | |
| Internal Medicine Physician | 207R00000X | MD173303 | OR | |
| Internal Medicine Physician | 207R00000X | 276557 | NY | |
| Internal Medicine Physician | 207R00000X | 139206 | CA | |
| Internal Medicine Physician | 207R00000X | 15931 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2017-00174 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 15931 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036147673 | IL | Primary |
Addresses
Primary practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
3S101 Rockwell St Unit 448
Warrenville, IL 60555-2963
Other practice location 1
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000
Other practice location 2
1200 N Elm St
Greensboro, NC 27401
Phone (336) 832-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
5 Kish Hospital Dr
Dekalb, IL 60115-9602
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15931 | NV | MD | Pharmacist |
| 139206 | CA | MD | Internal Medicine Physician |
| 2017-00174 | NC | MD | Internal Medicine Physician |
| 276557 | NY | MD | Internal Medicine Physician |
| 036147673 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Illinois, P.C. | Family Medicine | Current | Accepting new patients |
| Moses Cone Medical Services, Inc. | Family Medicine | Current | Accepting new patients |
| Moses Cone Medical Services, Inc. | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Sound Intensivists of Nevada Rbessler MD PLLC | Critical Care Medicine | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
Interoperability endpoints
- dlaurence109063@direct.peacehealth.org
- dlaurence582962@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Hospitalist Physician
- Harvey, IL
- NPI 1396347761
Family Medicine
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
Family Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Henderson, NV
- NPI 1841728417
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Western Rockingham Family Medicine
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1891089777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3S101 ROCKWELL ST UNIT 448",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605552963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-756-1521"
}
],
"practiceLocations": [
{
"address_1": "3001 Saint Rose Pkwy",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890523839",
"country_code": "US",
"telephone_number": "702-616-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N Elm St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "27401",
"country_code": "US",
"telephone_number": "336-832-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURENCE",
"first_name": "DENNIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2017-00174",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD173303",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276557",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "139206",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "15931",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2017-00174",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NV",
"license": "15931",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036147673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.