KENNETH J NELSON M.D.
NPI 1649262023
Obstetrics & Gynecology in Skokie, IL

NPI Status: Active since August 22, 2005

Contact Information

4905 OLD ORCHARD CTR STE 200
SKOKIE, IL
ZIP 60077
Phone: (847) 869-5800
Fax: (847) 869-9315

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Obstetrics & Gynecology
Accepts Insurance
Medicare Quality Reporting

About KENNETH NELSON

This page provides the complete NPI Profile along with additional information for Kenneth Nelson, a women's health care provider established in Skokie, Illinois with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1649262023 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X with license number 036065299 (IL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1649262023
Provider Name: KENNETH J NELSON M.D.
Gender: Male
Entity Type: Individual
Location Address: 4905 OLD ORCHARD CTR STE 200 SKOKIE, IL 60077
Location Phone: (847) 869-5800
Location Fax: (847) 869-9315
Mailing Address: 2801 LAKESIDE DR STE 209 BANNOCKBURN, IL 60015
Mailing Phone: (847) 562-1410
Mailing Fax: (847) 869-9315
Is Sole Proprietor?: No
Enumeration Date: 08-22-2005
Last Update Date: 01-23-2020
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Women's health care providers like Kenneth Nelson treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Obstetrics & Gynecology
Taxonomy Code: 207V00000X
Type: Allopathic & Osteopathic Physicians
License No.: 036065299
License State: IL
Taxonomy Description: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO? 201 - PPO
Blue Choice Preferred Bronze PPO? 701 - PPO
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
Blue Choice Preferred Gold PPO? 204 - PPO
Blue Choice Preferred Gold PPO? 901 - PPO
Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
Blue Choice Preferred Security PPO? 200 - PPO
Blue Choice Preferred Silver PPO? 203 - PPO
Blue Choice Preferred Silver PPO? 801 - PPO
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Blue Precision Bronze HMO? 205 - HMO
Blue Precision Bronze HMO? 701 - HMO
Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
Blue Precision Gold HMO? 207 - HMO
Blue Precision Gold HMO? 703 - HMO
Blue Precision Gold HMO? Standard - Rx Copays - HMO
Blue Precision Silver HMO? 206 - HMO
Blue Precision Silver HMO? 704 - HMO
Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Colorectal Cancer Screening	61%	31
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	49%	77
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Screening for Osteoporosis for Women Aged 65-85 Years of Age	90%	48
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	4	9	2	6	2	0	2	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	8	9	4	6	4	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 6 + 4 + 0 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1649262023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.