Individual provider Active NPI

Joseph A Kmiecik, MD

  • Diagnostic Radiology Physician
  • Dekalb, IL
National Provider Identifier
1942317839
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036111141 Issued in IL
Practice address
626 Bethany Road
Dekalb, IL 60115-4929
Phone
(815) 756-1521
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036111141 IL Primary

Addresses

Primary practice location

626 Bethany Road
Dekalb, IL 60115-4929

Mailing address

626 Bethany Rd
Dekalb, IL 60115-4939
Phone (815) 756-1521

Other identifiers 1

IdentifierTypeStateIssuer
0361111411MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720001203 IL Practitioner - Diagnostic Radiology 7315927548 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Aurora Radiology Consultants - Dekalb LLCGroup PAC ID 8628142106, 16 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

1221 N Highland Ave
Aurora, IL 60506-1404
Phone (630) 859-6800

1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

2285 Sequoia Dr
Aurora, IL 60506-6209
Phone (630) 859-6800

3310 W Main St
Suite 200
St Charles, IL 60175-1024
Phone (630) 897-6044

Hospital & facility affiliations

  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 23, 2022 Accepting new patients
Aurora Radiology Consultants, S.C. Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 23, 2022 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Midwest Center for Advanced Imaging, LLC Past Accepting new patients
Consultants in Diagnostic Imaging SC Diagnostic Radiology Past Accepting new patients
Yorkville Imaging LLC Past Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients

Locations

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1870 W Galena Blvd
Aurora, IL 60506
Phone (630) 859-6700

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

28594 Network Pl
Chicago, IL 60673

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

626 Bethany Rd
DeKalb, IL 60115
Phone (815) 306-2700

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1310 N Main St
Ste 1
Sandwich, IL 60548
Phone (815) 786-8470

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1942317839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BETHANY RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154939",
            "telephone_number": "815-756-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BETHANY ROAD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154929",
            "telephone_number": "815-756-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIECIK",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036111141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361111411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.