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DR. KEVIN LOUIS PETERMANN M.D.
NPI 1588744650
Internal Medicine in Oak Lawn, IL

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
4700 W 95TH ST STE 303, OAK LAWN, IL 60453(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 15, 2025, Nov 6, 2020, Apr 15, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Kevin Louis Petermann M.d. NPPES

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

DR. KEVIN LOUIS PETERMANN M.D. (NPI 1588744650) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (036141794) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1588744650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN LOUIS PETERMANNCredential: M.D.
Location Address4700 W 95TH ST STE 303Oak Lawn, IL 60453-2572
Mailing Address3820 Northdale Blvd Ste 201Tampa, FL 33624-1893 · (813) 961-1331 · Fax (888) 850-8316
Phone(800) 991-6117
Fax(888) 812-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 15, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2025
✔ NPI 1588744650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036141794✔ Licensed in NY · 232845✔ Licensed in FL · ME118086
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.
Also ListedPhlebologyTaxonomy 202K00000X · License 036141794 (IL)
4700 W 95TH ST STE 303, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 11460 N Halsted St Ste 503Chicago, IL 60642-2613 · Phone (800) 991-6117 · Fax (888) 812-8191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Kevin Louis Petermann 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 ID8527389626
PECOS Enrollment IDI20190620001830
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

3

Medicare enrollment records show Kevin Petermann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Illinois Uvc Medical PLLC
Same address
Vascular Surgery
4700 W 95TH ST STE 303
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 20 clinicians in this Medicare group
NPI 1689224719 (800) 991-6117
Nj Uvc Medical LLC
715 mi
Vascular Surgery
1 HARMON PLZ STE 210
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1740968742 (800) 991-6117
New York Medical United PLLC
727 mi
Vascular Surgery
9836 QUEENS BLVD STE 401
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1265121693 (800) 991-6117

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 10

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.

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
206 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
202 services68 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
197 services73 patients
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.
192 services84 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
152 services86 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
126 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

Other Providers at the Same Location NPPES 2

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

MS. ANNA J MIKOS CNM
Advanced Practice Midwife
4700 W 95TH ST STE 303
OAK LAWN, IL 60453
Cook County (708) 857-7230
ILLINOIS UVC MEDICAL PLLC
Surgery (Vascular Surgery)
4700 W 95TH ST STE 303
OAK LAWN, IL 60453
Cook County (800) 991-6117

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 Kevin Petermann's NPI number?

The NPI number for Kevin Petermann is 1588744650. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Kevin Petermann located?

Kevin Petermann practices at 4700 W 95th St Ste 303, Oak Lawn, IL 60453. The listed phone number is (800) 991-6117.

What is Kevin Petermann's specialty?

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

Is Kevin Petermann enrolled in Medicare?

Yes. Kevin Petermann 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 Kevin Petermann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Petermann reassigns Medicare benefits to 3 organizations: Illinois Uvc Medical PLLC (Oak Lawn, IL), Nj Uvc Medical LLC (Secaucus, NJ) and New York Medical United PLLC (Rego Park, NY). 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 Kevin Petermann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Petermann accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kevin Petermann 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.

When was this NPI record last updated?

The NPPES record for Kevin Petermann was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.