Active NPI
Kenneth Weinberg, MD
- Clinical Cardiac Electrophysiology Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036107287
- Practice address
- 25 N Winfield Rd
Ste 300
Winfield, IL 60190 - Phone
- (630) 933-8100
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036107287 | IL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036107287 | IL | Primary |
Addresses
Primary practice location
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036107287 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kweinberg475@dulyhealthandcare.direct-ci.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012000298 | IL | Practitioner - Cardiac Electrophysiology | 8224097720 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Northwestern University Feinberg Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Spalding Dr
Suite 3
Naperville, IL 60540-6550
Phone (630) 355-8000
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000
1801 S Highland Ave
Lombard, IL 60148-4932
Phone (630) 627-4722
1890 Silver Cross Blvd
Suite 345
New Lenox, IL 60451-9606
Phone (815) 462-9300
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
25 N Winfield Rd
Winfield, IL 60190-1222
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
301 Madison St
Joliet, IL 60435-6654
3743 Highland Ave
Downers Grove, IL 60515-1594
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
560 Belmont LN
Carol Stream, IL 60188-2441
Phone (630) 665-6500
801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450
852 S W St
Naperville, IL 60540-6400
Phone (630) 603-5000
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Edward Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107287 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Winfield Pathology Consultants, S.C. | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Naperville Psychiatric Ventures | Current | Accepting new patients | |
| Naperville Psychiatric Ventures | Current | Accepting new patients | |
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Edward Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
852 S West St
Naperville, IL 60540
Phone (630) 305-5027
100 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 717-2646
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- kweinberg475@dulyhealthandcare.direct-ci.com
Organizations & group practices 9
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.
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Psychiatric Hospital
- Naperville, IL
- NPI 1619910460
-
- Anatomic Pathology Physician
- Winfield, IL
- NPI 1528147071
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1922069574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"address_2": "STE 300",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-933-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036107287",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036107287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107287",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kweinberg475@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "25 N Winfield Rd",
"address_2": "Ste 300",
"city": "Winfield",
"state": "IL",
"country_code": "US",
"postal_code": "60190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.