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KEITH J CERMAK NP
NPI 1609200971
Nurse Practitioner - Family in Chicago, IL

Active since August 22, 2013PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
5198 RELIABLE PKWY, CHICAGO, IL 60686(847) 615-2200(847) 615-2828 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith J Cermak Np NPPES

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

KEITH J CERMAK NP (NPI 1609200971) is an individual family provider in Chicago, Illinois, licensed in Illinois (209010665) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609200971
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH J CERMAKCredential: NP
Location Address5198 RELIABLE PKWYChicago, IL 60686-0051
Mailing Address2013 Woodhavens DrBloomington, IL 61701-7802 · (847) 615-2200 · Fax (847) 615-2828
Phone(847) 615-2200
Fax(847) 615-2828
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 22, 2013
Last NPPES UpdateSeptember 4, 2013
✔ NPI 1609200971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209010665
5198 RELIABLE PKWY, Chicago, IL 60686
Open in Google Maps ↗

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

Keith J Cermak Np 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 ID7315172038
PECOS Enrollment IDI20131104001396
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.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60686 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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 Keith Cermak's NPI number?

The NPI number for Keith Cermak is 1609200971. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Where is Keith Cermak located?

Keith Cermak practices at 5198 Reliable Pkwy, Chicago, IL 60686. The listed phone number is (847) 615-2200.

What is Keith Cermak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keith Cermak enrolled in Medicare?

Yes. Keith Cermak 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.

Is Keith Cermak affiliated with any hospitals?

According to CMS data, Keith Cermak is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Keith Cermak was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.