GENESIS INTEGRATIVE MEDICINE LLC
NPI 1306311725
General Practice in Geneva, IL

Active since October 11, 2018
1881 S RANDALL RD STE C, GENEVA, IL 60134(331) 442-4132 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Integrative Medicine Llc NPPES

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

GENESIS INTEGRATIVE MEDICINE LLC (NPI 1306311725) is a healthcare organization registered as a general practice in Geneva, Illinois and active in the NPI registry since October 2018. The organization lists Nathan Conroy, Owner, as its authorized official.

NPPES Registry Identity

NPI1306311725
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGENESIS INTEGRATIVE MEDICINE LLC
Location Address1881 S RANDALL RD STE CGeneva, IL 60134-2532
Mailing Address1881 S Randall Rd Ste CGeneva, IL 60134-2532
Organization SubpartNo
Authorized OfficialNathan ConroyOwner · (331) 442-4132
Enumeration DateOctober 11, 2018
✔ NPI 1306311725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1881 S RANDALL RD STE C, Geneva, IL 60134

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Integrative Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Genesis Integrative Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1023116456
1881 S RANDALL RD STE. C
Geneva, IL 60134
(630) 845-8925
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881239549
801 N CASS AVE STE 300
Westmont, IL 60559
(630) 628-8889
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1912056995
117W755 BUTTERFIELD ROAD UNIT 104
Oakbrook Terrace, IL 60181
(312) 818-4650
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1164021168
1310 N MAIN ST STE 200
Sandwich, IL 60548
(815) 786-7150
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Genesis Integrative Medicine LLC's NPI number?

The NPI number for Genesis Integrative Medicine LLC is 1306311725. It was assigned to this organization in the NPPES registry on October 11, 2018.

Where is Genesis Integrative Medicine LLC located?

Genesis Integrative Medicine LLC is located at 1881 S Randall Rd Ste C, Geneva, IL 60134. The listed phone number is (331) 442-4132.

What is Genesis Integrative Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Genesis Integrative Medicine LLC enrolled in Medicare?

Yes. Genesis Integrative Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Integrative Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Genesis Integrative Medicine LLC, in Chiropractic, Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Integrative Medicine LLC was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.