NPIMap

Individual provider Active NPI

Kevin P McKian

  • Hematology & Oncology Physician
  • Rolling Meadows, IL
National Provider Identifier
1972512853
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036-127475 Issued in IL
Practice address
3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008-3127
Phone
(847) 577-0620
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48703 MN
Hematology & Oncology Physician 207RH0003X 48703 MN
Hematology & Oncology Physician 207RH0003X 036-127475 IL Primary

Addresses

Primary practice location

3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008-3127

Mailing address

3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008-3127
Phone (847) 577-0620

Other identifiers 2

IdentifierTypeStateIssuer
701465000MedicaidMN
P00413287OtherMNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000330 IL Practitioner - Hematology/Oncology 8426052499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Southern Illinois University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3701 Algonquin Rd
Suite 900
Rolling Meadows, IL 60008-3193
Phone (847) 870-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48703MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Oncology & Hematology SC Hematology & Oncology CurrentSince Aug 1, 2011 Accepting new patients
Northwest Oncology and Hematology SC Hematology & Oncology CurrentSince Aug 1, 2011 Accepting new patients

Locations

27750 W Il Route 22
Ste G70
Barrington, IL 60010
Phone (847) 842-0180

800 Biesterfield Rd
Ste 210
Elk Grove Vlg, IL 60007
Phone (847) 437-3312

1555 N Barrington Rd
Ste 1200
Hoffman Estates, IL 60169
Phone (847) 577-0620

3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008
Phone (847) 577-0620

Organizations & group practices 2

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 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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1972512853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD",
            "address_2": "STE 900",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083127",
            "telephone_number": "847-577-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD",
            "address_2": "STE 900",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083127",
            "telephone_number": "847-577-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIAN",
        "first_name": "KEVIN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "48703",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "48703",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036-127475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701465000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00413287",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.