NPIMap

Individual provider Active NPI

Stephen Kemnele

  • Nephrology Physician
  • Rockford, IL
National Provider Identifier
1992180806
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036154160 Issued in IL
Practice address
6940 Villagreen VW
Rockford, IL 61107-5605
Phone
(779) 774-9272
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036154160 IL Primary

Addresses

Primary practice location

6940 Villagreen VW
Rockford, IL 61107-5605

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7149

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
I20210203001967 IL Practitioner - Nephrology 0446664452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Germane Nephrology AssociatesGroup PAC ID 0446223838, 9 clinicians

Practice addresses (Care Compare)

812 Campus Dr
Joliet, IL 60435-5128
Phone (815) 741-6830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036154160ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Germane Nephrology Associates Nephrology CurrentSince Oct 1, 2021 Accepting new patients
Germane Nephrology Associates CurrentSince Oct 1, 2021 Accepting new patients
Kidney Care Center Rockford LLC Nephrology CurrentSince Feb 1, 2021 Accepting new patients

Locations

2184 N State St
Belvidere, IL 61008
Phone (779) 774-9272

215 Remington Blvd
Ste G2
Bolingbrook, IL 60440
Phone (630) 226-0162

812 Campus Dr
Joliet, IL 60435
Phone (815) 741-3825

662 Cedar Crossings Dr
Ste B
New Lenox, IL 60451

6940 Villagreen Vw
Rockford, IL 61107
Phone (779) 774-9272

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.

Hospital & facility affiliations 8

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1992180806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 VILLAGREEN VW",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075605",
            "telephone_number": "779-774-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMNELE",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036154160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.