DR. MITCHELL NATHAN KENTOR MD
NPI 1114455680
Emergency Medicine in Oak Lawn, IL
About Dr. Mitchell Nathan Kentor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITCHELL NATHAN KENTOR MD (NPI 1114455680) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036151096) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mitchell Nathan Kentor Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mitchell Kentor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
OAK LAWN, IL 60453
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 Mitchell Kentor's NPI number?
The NPI number for Mitchell Kentor is 1114455680. It was assigned to this individual provider in the NPPES registry on May 30, 2017.
Where is Mitchell Kentor located?
Mitchell Kentor practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5375.
What is Mitchell Kentor's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mitchell Kentor enrolled in Medicare?
Yes. Mitchell Kentor 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.
Which organizations bill Medicare for Mitchell Kentor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Kentor reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Froedtert South, Inc. (Kenosha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Kentor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mitchell Kentor affiliated with any hospitals?
According to CMS data, Mitchell Kentor is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Mitchell Kentor was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Dr. Mitchell Nathan Kentor, MD · NPI 1114455680
Emergency Medicine physician in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since May 30, 2017.
## Identity
- **NPI:** 1114455680 (Entity type: Individual)
- **Enumerated:** May 30, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036151096 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4440 W 95TH ST, Oak Lawn, IL 60453-2600
- **Phone:** (708) 684-5375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Endeavor Health Medical Group (NPI 1497701882, Evanston, IL); Froedtert South, Inc. (NPI 1558305284, Kenosha, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114455680) · Data from the CMS NPPES public registry.