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KEVIN IZQUIERDO
NPI 1205449626
Family Medicine - Sports Medicine in Carbondale, IL

Active since August 25, 2020PECOS Enrolled
300 W OAK ST STE 200, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2025, Jun 23, 2025, Aug 25, 2020 (3 updates tracked since 2020).

About Kevin Izquierdo NPPES

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

KEVIN IZQUIERDO (NPI 1205449626) is an individual sports medicine provider in Carbondale, Illinois, licensed in Illinois (125.086053) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205449626
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameKEVIN IZQUIERDO
Location Address300 W OAK ST STE 200Carbondale, IL 62901-1400
Mailing Address300 W Oak St Ste 200Carbondale, IL 62901-1400 · (618) 536-6621
Phone(618) 536-6621
Sole ProprietorNo
Enumeration DateAugust 25, 2020
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1205449626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 125.086053
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
300 W OAK ST STE 200, Carbondale, IL 62901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Izquierdo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 13

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

ASHMEET SINGH SAHNI MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
TYLER PATRICK MCKIBBEN MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
DR. BARSUN KIRKMAN MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
NYA ANWANANE MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
RYAN TATE WEST DO
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
SIMRANDEEP SANDHU
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
SHREYA SRIRAM
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-0221
DOIS CHARLES OGAN DO
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621

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 Kevin Izquierdo's NPI number?

The NPI number for Kevin Izquierdo is 1205449626. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Kevin Izquierdo located?

Kevin Izquierdo practices at 300 W Oak St Ste 200, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Kevin Izquierdo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kevin Izquierdo enrolled in Medicare?

Yes. Kevin Izquierdo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Izquierdo was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.