DR. BENEDICT IKEUDENTA III MD
NPI 1477256931
Family Medicine in Loves Park, IL

Q: What is Benedict Ikeudenta's NPI number?

The NPI number for Benedict Ikeudenta is 1477256931. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Benedict Ikeudenta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 23, 2023PECOS Enrolled

7702 N ALPINE RD, LOVES PARK, IL 61111(815) 971-3310 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 5, 2026, Mar 23, 2023 (2 updates tracked since 2023).

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About Dr. Benedict Ikeudenta Iii Md NPPES

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

DR. BENEDICT IKEUDENTA III MD (NPI 1477256931) is an individual family medicine provider in Loves Park, Illinois, licensed in Illinois (036181027) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477256931

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BENEDICT IKEUDENTA IIICredential: MD

Location Address7702 N ALPINE RDLoves Park, IL 61111-3107

Mailing Address7561 Creek BndRockford, IL 61114-6663 · (346) 322-5140

Phone(815) 971-3310

Sole ProprietorNo

Enumeration DateMarch 23, 2023

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1477256931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036181027

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7702 N ALPINE RD, Loves Park, IL 61111

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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)

Dr. Benedict Ikeudenta Iii Md 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 61111 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 20

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

DR. SHAFFIQ YUSUF MD

Family Medicine