KSB CENTER FOR DIABETES MANAGEMENT
NPI 1629046115
Clinic/Center in Dixon, IL
About Ksb Center For Diabetes Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSB CENTER FOR DIABETES MANAGEMENT (NPI 1629046115) is a healthcare organization registered as a clinic/center in Dixon, Illinois and active in the NPI registry since March 2006. The organization lists Kevin T Marx, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ksb Center For Diabetes Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Ksb Center For Diabetes Management, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 130Dixon, IL 61021
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 Ksb Medical Group, Inc.'s NPI number?
The NPI number for Ksb Medical Group, Inc. is 1629046115. It was assigned to this organization in the NPPES registry on March 9, 2006. The provider is doing business as Ksb Center For Diabetes Management.
Where is Ksb Medical Group, Inc. located?
Ksb Medical Group, Inc. is located at 215 E 1st St Ste 101, Dixon, IL 61021. The listed phone number is (815) 285-5973.
What is Ksb Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ksb Medical Group, Inc. enrolled in Medicare?
Yes. Ksb Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ksb Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 25 Medicare specialties reassign their Medicare billing to Ksb Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (26), Family Practice (22) and Internal Medicine (16). Of these, 15 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ksb Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ksb Center For Diabetes Management · NPI 1629046115
Clinic/Center organization in Dixon, Illinois. Organization record, active in the CMS NPPES registry since March 9, 2006.
## Identity
- **NPI:** 1629046115 (Entity type: Organization)
- **Enumerated:** March 9, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Ksb Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Kevin Marx, VICE PRESIDENT
## Practice location
- **Address:** 215 E 1ST ST, STE 101, Dixon, IL 61021-3166
- **Phone:** (815) 285-5973 · **Fax:** (815) 285-5974
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 130 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (26), Family Practice (22), Internal Medicine (16); 15 practice at this address and 60 within 10 miles; [full list](https://npiprofile.com/npi/1629046115/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629046115) · Data from the CMS NPPES public registry.