KLEVEN H ISRAELSEN D.O.
NPI 1740232560
Emergency Medicine in Peru, IL
About Kleven H Israelsen D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KLEVEN H ISRAELSEN D.O. (NPI 1740232560) is an individual emergency medicine provider in Peru, Illinois, licensed in Illinois (036083343) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lawrence County Memorial Hospital, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Kleven H Israelsen D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kleven Israelsen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, IL 62439
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1396024162 (Illinois)
- 80 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
- Reassigned Medicare billing, Illinois enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lawrence County Memorial Hospital
Critical Access Hospitals · Lawrenceville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kleven Israelsen's NPI number?
The NPI number for Kleven Israelsen is 1740232560. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Kleven Israelsen located?
Kleven Israelsen practices at 925 West St, Peru, IL 61354. The listed phone number is (815) 223-3300.
What is Kleven Israelsen's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kleven Israelsen enrolled in Medicare?
Yes. Kleven Israelsen 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 Kleven Israelsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kleven Israelsen reassigns Medicare benefits to 4 organizations: Lawrence County Memorial Hospital (Lawrenceville, IL), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Statera Health Care, LLC (Harrisburg, IL) and Integritas Emergency Physician Services LLC (IL). 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 Kleven Israelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kleven Israelsen affiliated with any hospitals?
According to CMS data, Kleven Israelsen is affiliated with Lawrence County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kleven Israelsen was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kleven H Israelsen, D.O. · NPI 1740232560
Emergency Medicine physician in Peru, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1740232560 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036083343 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 WEST ST, Peru, IL 61354-2757
- **Phone:** (815) 223-3300 · **Fax:** (815) 223-3394
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lawrence County Memorial Hospital (NPI 1881643401, Lawrenceville, IL); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); Statera Health Care, LLC (NPI 1043874449, Harrisburg, IL); Integritas Emergency Physician Services LLC (IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 1989
## Record status
- **NPPES last updated:** July 13, 2009
- **Other identifiers:** Medicare PIN 214881057 (IL); Medicaid 036083343-8 (IL); Medicare UPIN E67888 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1740232560) · Data from the CMS NPPES public registry.