Individual provider Active NPI

Robert Givens Kellogg, M.D.

  • Neurological Surgery Physician
  • Park Ridge, IL
National Provider Identifier
1972737476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036.140477 Issued in IL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150603000822 PA Practitioner - Neurosurgery 0840511887 Reassigns benefits to 2 organizations
I20160831002216 IL Practitioner - Neurosurgery 0840511887 Reassigns benefits to 1 organization
I20250428003626 NC Practitioner - Neurosurgery 0840511887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.140477ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Sep 1, 2016 Accepting new patients
Pinnacle Health Medical Services Neurological Surgery Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Sep 1, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 1, 2022 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince May 15, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Pinnacle Health Medical Services CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.