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JAMES A KOLKA D.O.
NPI 1114966447
Emergency Medicine in Elgin, IL

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
PROVENA ST JOSEPH HOSPITAL, 77 N AIRLITE ST, ELGIN, IL 60123(847) 695-3200 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James A Kolka D.o. NPPES

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

JAMES A KOLKA D.O. (NPI 1114966447) is an individual emergency medicine provider in Elgin, Illinois, licensed in Illinois (036077362) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Paul Medical Center, and is a graduate of Chicago College Of Osteopathy (1987).

NPPES Registry Identity

NPI1114966447
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES A KOLKACredential: D.O.
Location AddressPROVENA ST JOSEPH HOSPITAL, 77 N AIRLITE STElgin, IL 60123
Mailing Address2000 Spring Rd, Ste 200Oak Brook, IL 60523-1804 · (630) 472-8810
Phone(847) 695-3200
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1987
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1114966447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036077362
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
PROVENA ST JOSEPH HOSPITAL, Elgin, IL 60123
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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

James A Kolka D.o. 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 ID3577460104
PECOS Enrollment IDI20031218000440
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Kolka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Illinois PLLC
38 mi
Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 clinicians in this Medicare group
NPI 1548258072 (847) 746-4358
Rochelle Community Hospital Association
39 mi
Family Medicine
900 N 2ND ST STE 200
Rochelle, IL 61068
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821053216 (Illinois)
  • 38 clinicians in this Medicare group
NPI 1568518322 (815) 562-3784
Osf Multi-Specialty Group
110 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Rochelle Community Hospital

Critical Access Hospitals · Rochelle, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141312
Location900 N 2nd StRochelle, IL 61068 · Ogle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 James Kolka's NPI number?

The NPI number for James Kolka is 1114966447. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is James Kolka located?

James Kolka practices at Provena St Joseph Hospital 77 N Airlite St, Elgin, IL 60123. The listed phone number is (847) 695-3200.

What is James Kolka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Kolka enrolled in Medicare?

Yes. James Kolka 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 James Kolka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kolka reassigns Medicare benefits to 3 organizations: City Of Hope Medical Group Of Illinois PLLC (Zion, IL), Rochelle Community Hospital Association (Rochelle, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 James Kolka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Kolka affiliated with any hospitals?

According to CMS data, James Kolka is affiliated with Osf Saint Paul Medical Center and Rochelle Community Hospital.

When was this NPI record last updated?

The NPPES record for James Kolka was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.