Active NPI
Kevin Gregory Neill, M.D., M.P.H.
- Cytopathology Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 036140523
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- Fax
- (618) 351-4968
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 01073858A | IN | |
| Anatomic Pathology Physician | 207ZP0101X | ME 123583 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036140523 | IL | |
| Cytopathology Physician | 207ZC0500X | 036140523 | IL | Primary |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
PO Box 1105
Indianapolis, IN 46206-1105
Phone (618) 457-5200
Other practice location 1
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other practice location 2
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MEDICARE GROUP |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kneill8446@sih.direct-ci.com | ||
| Direct Messaging Address | kneill8446@sih.direct-ci.com | ||
| Direct Messaging Address | kneill8446@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Hospital & facility affiliations
- Herrin Hospital
- Memorial Hospital of Carbondale
- Harrisburg Medical Center
- St Joseph Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01073858A | IN | MD | Cytopathology Physician |
| ME 123583 | FL | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Pathology Consultants Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Consultants Inc | Cytopathology | Current | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
2434 Interstate Plaza Dr
Hammond, IN 46324
Phone (219) 989-3700
422 Franklin St
Michigan City, IN 46360
Phone (219) 879-3576
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
5700 Southwyck Blvd
Toledo, OH 43614
Interoperability endpoints
- kevin.neill.p1@direct.chesi.nextgenshare.com
- kneill8446@sih.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Anatomic Pathology & Clinical Pathology Physician
- Dyer, IN
- NPI 1972596864
-
- Anatomic Pathology & Clinical Pathology Physician
- Valparaiso, IN
- NPI 1881852507
Cytopathology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1972821734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061105",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721",
"fax_number": "618-351-4968"
}
],
"practiceLocations": [
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171",
"fax_number": "618-351-4935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"fax_number": "618-529-0538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEILL",
"first_name": "KEVIN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IN",
"license": "01073858A",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "FL",
"license": "ME 123583",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036140523",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IL",
"license": "036140523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kneill8446@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"address_2": "Dept. of Pathology",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kneill8446@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kneill8446@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.