Claire Kenneally, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2004016468 Issued in MO

Practice address

530 Winnetka Ave
Winnetka, IL 60093-4023

Phone

(847) 441-6868

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Head and Neck Cosmetic Surgery Associates LLC 22 clinicians

Select Rehabilitation, LLC 1,935 clinicians

Thorek Memorial Hospital 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• VI at the Glen Nursing home, Glenview, IL, CCN 146107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claire.kenneally@hncsa.eclinicaldirectplus.com

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.

• Claire Kenneally, LTD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1720272685

  IL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811

  IL

  Medicare reassignment Care Compare group NPD
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961

  IL

  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  IL, Internal Medicine

  Medicare reassignment NPD
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Carole P Prete MD PLLC

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1851002604

  Internal Medicine

  NPD
• David R Donnersberger MD SC

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1558553057

  Internal Medicine

  NPD
• Eleanor Smith MD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1285314641

  Internal Medicine

  NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864

  Internal Medicine

  NPD (past)

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

• CC Lake LLC

  • Skilled Nursing Facility
  • Glenview, IL
  • NPI 1649220906

  Nursing home

  Care Compare affiliation
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549

  Hospital

  Care Compare affiliation
• Guardian Home Health Care LLC

  • Home Health Agency
  • Northfield, IL
  • NPI 1366439655
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607

  Hospital

  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1952521981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEALLY",
        "first_name": "CLAIRE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004016468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Kafkis, OTD
• Daniel Karabatsos, MA, LPC
• Kathleen B Barth
• Patricia Kaufman, LDN
• Carol A Kemp, MSW
• Pamela Joann Keys, LCSW
• Marie Eve S Kielson, MA LMFT LCPC
• Nelson Kim, PT, DPT
• Yoon Tae Kim, M.D.
• Katelyn G Kluckman, MS, CF-SLP

• All providers in Winnetka, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.

Verify at the official NPI Registry.