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KERLINE DUCTAN M.D.
NPI 1073826715
Internal Medicine in Normal, IL

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment
1300 FRANKLIN AVE STE 380, NORMAL, IL 61761(309) 268-3598(309) 268-2536 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Dec 18, 2020, Nov 3, 2020 and 1 more (4 updates tracked since 2017).

About Kerline Ductan M.d. NPPES

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

KERLINE DUCTAN M.D. (NPI 1073826715) is an individual internal medicine provider in Normal, Illinois, licensed in Illinois (036-131088) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073826715
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKERLINE DUCTANCredential: M.D.
Location Address1300 FRANKLIN AVE STE 380Normal, IL 61761-4266
Mailing AddressPo Box 5451Evanston, IL 60204 · (786) 303-3676
Phone(309) 268-3598
Fax(309) 268-2536
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2009
Enumeration DateJuly 22, 2010
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1073826715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036-131088✔ Licensed in IL · 125057835
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036-131088 (IL), 61250 (WI)
1300 FRANKLIN AVE STE 380, Normal, IL 61761
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12650 Ridge AveEvanston, IL 60201-1718 · Phone (847) 570-2509
Location 22320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5932 · Fax (773) 967-5942

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerline Ductan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749416337
PECOS Enrollment IDI20131204002164, I20131230001651, I20220910000289, I20250603002381
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
349 services324 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

PIOTR PAWEL KROLIKOWSKI MD
Hospitalist
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
MUHAMMAD ALI NAVEED
Hospitalist
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
ZAW WIN PHYO M.B,B.S
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
DR. BIJOY SHANKAR KAR M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
ENRIQUE FRANCISCO MARTINEZ TREVINO M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
ANAND OROSKAR M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
DR. DANIEL ENYINNAYA NWANKWO M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
SULAIMAN SULTAN M.D.
Hospitalist
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598

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 Kerline Ductan's NPI number?

The NPI number for Kerline Ductan is 1073826715. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Kerline Ductan located?

Kerline Ductan practices at 1300 Franklin Ave Ste 380, Normal, IL 61761. The listed phone number is (309) 268-3598.

What is Kerline Ductan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kerline Ductan enrolled in Medicare?

Yes. Kerline Ductan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kerline Ductan accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, HMO Louisiana, Medica and Oscar Insurance Company list Kerline Ductan 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.

Is Kerline Ductan affiliated with any hospitals?

According to CMS data, Kerline Ductan is affiliated with Carle Bromenn Medical Center, Freestone Medical Center, Frio Regional Hospital and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Kerline Ductan was last updated on October 18, 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.