ALICIA KOUBA
NPI 1306597513
Dietitian, Registered in Plainfield, IL

Active since January 10, 2022Accepts Medicare Assignment
2227 STONEHAVEN DR, PLAINFIELD, IL 60586(815) 342-4342 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Kouba NPPES

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

ALICIA KOUBA (NPI 1306597513) is an individual dietitian, registered in Plainfield, Illinois and active in the NPI registry since January 2022. She maintains a secondary practice location in Mokena and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306597513
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALICIA KOUBA
Location Address2227 STONEHAVEN DRPlainfield, IL 60586-8119
Mailing Address19805 S La Grange RdMokena, IL 60448-8348
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1306597513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2227 STONEHAVEN DR, Plainfield, IL 60586

Secondary Practice Location 1

Location 119805 S La Grange RdMokena, IL 60448-8348 · Phone (708) 938-3378 · Fax (708) 498-3378

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

Alicia Kouba 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 ID7113319906
PECOS Enrollment IDI20220128001763

Medicare Billing Reassignment

Medicare enrollment records show Alicia Kouba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
19807 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60586 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
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
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 Alicia Kouba's NPI number?

The NPI number for Alicia Kouba is 1306597513. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Alicia Kouba located?

Alicia Kouba practices at 2227 Stonehaven Dr, Plainfield, IL 60586. The listed phone number is (815) 342-4342.

What is Alicia Kouba's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alicia Kouba enrolled in Medicare?

Yes. Alicia Kouba 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 organization bills Medicare for Alicia Kouba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Kouba reassigns Medicare benefits to Three Point Healthcare LLC (Mokena, IL). The 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 Alicia Kouba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Kouba was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.