Active NPI
Robert Givens Kellogg, M.D.
- Neurological Surgery Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036.140477
- Practice address
- 1875 Dempster St
Parkside Center Suite 410
Park Ridge, IL 60068-1186 - Phone
- (847) 723-9052
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036.140477 | IL | Primary |
Addresses
Primary practice location
1875 Dempster St
Parkside Center Suite 410
Park Ridge, IL 60068-1186
Mailing address
1875 Dempster St
Parkside Center Suite 410
Park Ridge, IL 60068-1186
Phone (847) 723-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.140477 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Neurological Surgery | Current | Accepting new patients |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Upmc Children'S Hospital of Pittsburgh | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1875 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 318-9595
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944
205 S Front St
Fl Bma
Harrisburg, PA 17104
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685
Interoperability endpoints
- rkellogg629303@direct.medicine.duke.edu
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Neurological Surgery
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Orthopaedic Surgery Physician
- Enola, PA
- NPI 1083207583
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Children's Hospital
- Pittsburgh, PA
- NPI 1164426896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972737476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 DEMPSTER ST",
"address_2": "PARKSIDE CENTER SUITE 410",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681186",
"telephone_number": "847-723-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 DEMPSTER ST",
"address_2": "PARKSIDE CENTER SUITE 410",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681186",
"telephone_number": "847-723-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOGG",
"first_name": "ROBERT",
"middle_name": "GIVENS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036.140477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.