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

Q: What is Kenneth Nelson's NPI number?

The NPI number for Kenneth Nelson is 1649262023. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Kenneth Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Nelson was last updated on January 23, 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.

Active since August 22, 2005

4905 OLD ORCHARD CTR STE 200, SKOKIE, IL 60077(847) 869-5800(847) 869-9315 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Sep 12, 2017 (2 updates tracked since 2017).

On this page

About Kenneth J Nelson M.d. NPPES

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

KENNETH J NELSON M.D. (NPI 1649262023) is an individual obstetrics & gynecology provider in Skokie, Illinois, licensed in Illinois (036065299) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1649262023

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameKENNETH J NELSONCredential: M.D.

Location Address4905 OLD ORCHARD CTR STE 200Skokie, IL 60077-1462

Mailing Address2801 Lakeside Dr Ste 209Bannockburn, IL 60015-1271 · (847) 562-1410 · Fax (847) 562-0830

Phone(847) 869-5800

Fax(847) 869-9315

Sole ProprietorNo

Enumeration DateAugust 22, 2005

Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration

✔ NPI 1649262023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036065299

Definition

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.

4905 OLD ORCHARD CTR STE 200, Skokie, IL 60077

Open in Google Maps ↗

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

61%31 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

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…

49%77 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

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

90%48 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

LAURA PEARLMAN MD

Obstetrics & Gynecology