1. Home
  2. Directory
  3. Illinois
  4. Evergreen Park
  5. Physician Assistant
  6. NPI Profile

KENRICK L ROBERTS PHYSICIAN ASSISTANT
NPI 1265754329
Physician Assistant in Evergreen Park, IL

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment
2850 W 95TH ST, SUITE 301, EVERGREEN PARK, IL 60805(708) 389-2200 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2021, Sep 14, 2020, Apr 12, 2019 and 1 more (4 updates tracked since 2019).

About Kenrick L Roberts Physician Assistant NPPES

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

KENRICK L ROBERTS PHYSICIAN ASSISTANT (NPI 1265754329) is an individual physician assistant in Evergreen Park, Illinois, licensed in Illinois (085-003520) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265754329
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENRICK L ROBERTSCredential: PHYSICIAN ASSISTANT
Location Address2850 W 95TH ST, SUITE 301Evergreen Park, IL 60805-2735
Mailing AddressPo Box 26975Jacksonville, FL 32226-6975 · (773) 450-5709
Phone(708) 389-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 17, 2010
Last NPPES UpdateApril 29, 20214 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1265754329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-003520
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085003520 (IL)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 085003520 (IL)
2850 W 95TH ST, Evergreen Park, IL 60805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Kenrick L Roberts Physician Assistant 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 ID8820273212
PECOS Enrollment IDI20110428000590
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.

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

MS. DIANE L O'CONNOR RNFA
Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 952-1030
STANLEY A POLIT MD, SC
Internal Medicine (Gastroenterology)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Cook County (708) 424-9044
MAHAFZAH MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Cook County (708) 422-1222
DOLORES DIXON-GREVIOUS MD
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Cook County (708) 389-2200
DR. BASEL I AL-ASWAD MD
Orthopaedic Surgery
2850 W 95TH ST, SUITE 406
EVERGREEN PARK, IL 60805
Cook County (708) 499-4844
RAJNEESH SALWAN MD SC
Internal Medicine
2850 W 95TH ST, 304
EVERGREEN PARK, IL 60805
Cook County (708) 636-2770
AHK SURGICAL S.C.
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 636-4116
CYNTHIA D MORRIS APRN, CNP
Nurse Practitioner (Family)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5065

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 Kenrick Roberts's NPI number?

The NPI number for Kenrick Roberts is 1265754329. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Kenrick Roberts located?

Kenrick Roberts practices at 2850 W 95th St Suite 301, Evergreen Park, IL 60805. The listed phone number is (708) 389-2200.

What is Kenrick Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenrick Roberts enrolled in Medicare?

Yes. Kenrick Roberts 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 Kenrick Roberts accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kenrick Roberts 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 Kenrick Roberts affiliated with any hospitals?

According to CMS data, Kenrick Roberts is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Kenrick Roberts was last updated on April 29, 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.