Individual provider Active NPI

Dennis Michael Laurence, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dekalb, IL
National Provider Identifier
1891089777
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036147673 Issued in IL
Practice address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone
(815) 756-1521
NPI assigned
Jun 8, 2011
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180820002472 NC Practitioner - Urology 4385967488 Reassigns benefits to 1 organization
I20190430000454 IL Practitioner - Critical Care (Intensivists) 4385967488 Reassigns benefits to 2 organizations
I20211005001920 NV Practitioner - Critical Care (Intensivists) 4385967488 Reassigns benefits to 1 organization

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
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

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

LicenseStateTypeSpecialty
15931NVMDPharmacist
139206CAMDInternal Medicine Physician
2017-00174NCMDInternal Medicine Physician
276557NYMDInternal Medicine Physician
036147673ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Hospitalist Physicians of Illinois, P.C. Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Jun 11, 2018 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Jun 11, 2018 Accepting new patients
Central Dupage Physician Group CurrentSince Feb 1, 2020 Accepting new patients
Sound Intensivists of Nevada Rbessler MD PLLC Critical Care Medicine CurrentSince Aug 1, 2021 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

  • Direct secure messaging: dlaurence109063@direct.peacehealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.