KSB MEDICAL GROUP, INC.
NPI 1073592119
Family Medicine in Dixon, IL

Q: What is Ksb Medical Group, Inc.'s NPI number?

The NPI number for Ksb Medical Group, Inc. is 1073592119. It was assigned to this organization in the NPPES registry on January 16, 2006.

Q: What is Ksb Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 16, 2006

403 E 1ST ST, DIXON, IL 61021(815) 285-5507(815) 285-5859 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ksb Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSB MEDICAL GROUP, INC. (NPI 1073592119) is a healthcare organization registered as a family medicine in Dixon, Illinois and active in the NPI registry since January 2006. The organization lists Austin Bruce Frazier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073592119

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKSB MEDICAL GROUP, INC.

Location Address403 E 1ST STDixon, IL 61021-3116

Mailing AddressPo Box 841330Kansas City, MO 64184-1330 · (816) 201-3331

Phone(815) 285-5507

Fax(815) 285-5859

Organization SubpartNo

Authorized OfficialAustin Bruce FrazierCfo · (815) 285-5521

Enumeration DateJanuary 16, 2006

Last NPPES UpdateDecember 28, 2022

NPPES CertifiedDecember 28, 2022

✔ NPI 1073592119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X

Also ListedPediatricsTaxonomy 208000000X

403 E 1ST ST, Dixon, IL 61021

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAAD BLANEY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5533

KATHERINE SHAW BETHEA HOSPITAL

Psychiatric Unit

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 288-5531

BRETT AUSTIN MCGOWAN M.D.

Obstetrics & Gynecology

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5461

MARIE NOWAK MD

Emergency Medicine

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 288-5531

STACEY PENAFLOR

Physical Therapist

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5591

DOROTHY BENNETT MD

Internal Medicine

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 285-5629

VALARIE PFOUTZ APN

Nurse Practitioner (Family)

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 288-5531

AUDRA DANIELLE WASHO APN

Nurse Practitioner (Family)

403 E 1ST ST
DIXON, IL 61021

Lee County (815) 284-5710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ksb Medical Group, Inc.'s NPI number?

The NPI number for Ksb Medical Group, Inc. is 1073592119. It was assigned to this organization in the NPPES registry on January 16, 2006.

Where is Ksb Medical Group, Inc. located?

Ksb Medical Group, Inc. is located at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 285-5507.

What is Ksb Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Ksb Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and BlueCross BlueShield of Tennessee list Ksb Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ksb Medical Group, Inc. was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.