DR. PHILIP J KILEY M.D.
NPI 1245211366
Internal Medicine in Mount Prospect, IL

Q: What is Philip Kiley's NPI number?

The NPI number for Philip Kiley is 1245211366. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Philip Kiley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philip Kiley was last updated on April 30, 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.

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment

89.66/100

CMS Quality Rating

199 W. RAND ROAD, MOUNT PROSPECT, IL 60056(847) 618-5450(847) 618-5459 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2021, Mar 6, 2020 (2 updates tracked since 2020).

On this page

About Dr. Philip J Kiley M.d. NPPES

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

DR. PHILIP J KILEY M.D. (NPI 1245211366) is an individual internal medicine provider in Mount Prospect, Illinois, licensed in Illinois (036091350) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Rush Medical College Of Rush University (1992).

NPPES Registry Identity

NPI1245211366

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PHILIP J KILEYCredential: M.D.

Location Address199 W. RAND ROADMount Prospect, IL 60056-1129

Mailing Address199 W Rand Rd Ste 203Mt Prospect, IL 60056-1157 · (847) 618-5450 · Fax (847) 618-5459

Phone(847) 618-5450

Fax(847) 618-5459

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1992

Enumeration DateNovember 7, 2005

Last NPPES UpdateApril 30, 20212 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1245211366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036091350

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.

199 W. RAND ROAD, Mount Prospect, IL 60056

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Other Identifiers 2

Other01632723IL · Bcbs

Medicaid036091350IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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. Philip J Kiley 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 ID9830106970

PECOS Enrollment IDI20060314000472

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

Medicare enrollment records show Philip Kiley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Health Services Inc

4.1 mi

Obstetrics

880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005

Reassigned Medicare billing, Illinois enrollment
346 clinicians in this Medicare group

NPI 1467057513 (847) 618-0730

Endeavor Health Medical Group

12 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

586 services382 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

391 services391 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

209 services154 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

73 services68 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

71 services71 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

62 services62 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

57 services45 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

39 services33 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

25 services24 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

23 services23 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

22 services22 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60056 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

89.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.32

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

21 suppliers60 claims134 services$6.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers35 claims36 services$1.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JENNIFER D. WEIRICH PA-C

Physician Assistant

199 W. RAND ROAD
MOUNT PROSPECT, IL 60056

Cook County (847) 618-5450

DR. NIGEL N WALTERS MD

Internal Medicine

199 W. RAND ROAD
MOUNT PROSPECT, IL 60056

Cook County (847) 618-5450

RONNIE GEORGE GHUNEIM M.D.

Internal Medicine

199 W. RAND ROAD
MOUNT PROSPECT, IL 60056

Cook County (847) 618-5450

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 Philip Kiley's NPI number?

The NPI number for Philip Kiley is 1245211366. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Philip Kiley located?

Philip Kiley practices at 199 W. Rand Road, Mount Prospect, IL 60056. The listed phone number is (847) 618-5450.

What is Philip Kiley's specialty?

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

Is Philip Kiley enrolled in Medicare?

Yes. Philip Kiley 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 Philip Kiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Kiley reassigns Medicare benefits to 2 organizations: Northwest Community Health Services Inc (Arlington Heights, IL) and Endeavor Health Medical Group (Evanston, 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 Philip Kiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Kiley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Philip Kiley 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 Philip Kiley affiliated with any hospitals?

According to CMS data, Philip Kiley is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Philip Kiley was last updated on April 30, 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.